Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
نویسندگان
چکیده
We encountered cardiac arrest induced by 0.375 % ropivacaine 7 ml administered via a catheter for continuous thoracic paravertebral block (TPVB) in a 6-year-old female who underwent pacemaker implantation for sick sinus syndrome (SSS). She was successfully resuscitated with adrenaline and lipid emulsion. Plasma concentration of ropivacaine was 5.2 μg/ml, suggesting intravascular administration of ropivacaine. Inadvertent intravascular administration is a crucial complication of TPVB.
منابع مشابه
Arterial and venous pharmacokinetics of ropivacaine with and without epinephrine after thoracic paravertebral block.
BACKGROUND Animal and volunteer studies indicate that ropivacaine is associated with less neurologic and cardiac toxicity than bupivacaine. Ropivacaine may offer advantages when used for thoracic paravertebral block. This study was designed to describe the pharmacokinetics of ropivacaine after thoracic paravertebral block. METHODS Twenty female patients undergoing elective unilateral breast s...
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