Systemic ropivacaine toxicity from a peripheral nerve infusion in a medically complex patient
| Autor: | Martha Pankovich, Sean H. Flack, Corrie T. M. Anderson, Lizabeth D. Martin, Eliot B. Grigg |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class medicine.medical_treatment Young Adult Bolus (medicine) Renal Dialysis medicine Humans Ropivacaine Anesthetics Local Heart transplantation Local anesthetic business.industry Nerve Block Amides Sciatic Nerve Surgery Catheter Anesthesiology and Pain Medicine Anesthesia Toxicity Nerve block Heart Transplantation Sciatic nerve business medicine.drug |
| Zdroj: | Journal of Clinical Anesthesia. 27:338-340 |
| ISSN: | 0952-8180 |
| Popis: | This is a case of systemic ropivacaine toxicity from a sciatic nerve catheter. A 20-year-old patient after heart transplant with poor systemic perfusion on hemodialysis and multiple medications experienced local anesthetic systemic toxicity 72 hours after placement of a peripheral nerve catheter. The case demonstrates the potentially significant impact of medical comorbidities on system absorption of local anesthetics and reinforces that existing dose guidelines are not evidence based, and literature to guide local anesthetic bolus supplementation of continuous infusions is scant. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect