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Anesth Analg 2008; 106:1572-1574
© 2008 International Anesthesia Research Society
doi: 10.1213/01.ane.0000286176.55971.f0
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CASE REPORT

Successful Resuscitation After Ropivacaine and Lidocaine-Induced Ventricular Arrhythmia Following Posterior Lumbar Plexus Block in a Child

Hugues Ludot, MD*, Jean-Yves Tharin, MD*, Mohamed Belouadah, MD{dagger}, Jean-Xavier Mazoit, MD, PhD{ddagger}§, and Jean-Marc Malinovsky, MD, PhD||

From the *Pediatric Anesthesia Unit, and {dagger}Department of Pediatric Surgery, American Memorial Hospital, CHU Reims; {ddagger}AP-HP, Hôpital Bicêtre, Département d’ Anesthésie-Réanimation; §Univ Paris-Sud, Laboratoire d'anesthésie, Faculté de Médecine de Bicêtre, Le Kremlin-Bicêtre; and ||Hôpital Maison Blanche, Department of Anesthesia and Intensive Care, CHU Reims, France.

Address correspondence and reprint requests to Jean-Marc Malinovsky, MD, PhD, Pediatric Anesthesia Unit, American Memorial Hospital, CHU Reims, F-51092, France. Address e-mail to jmmalinovsky{at}chu-reims.fr.

We report the case of a 13-yr-old girl scheduled for knee surgery under general anesthesia and posterior lumbar plexus block. A ventricular arrhythmia developed 15 min after local anesthetic injection. A 20% lipid emulsion was successful in converting the ventricular arrhythmia to a sinus rhythm. This is consistent with previous reports suggesting that lipid emulsion is an effective emergency treatment of local anesthetic toxicity. We recommend the immediate availability of lipid emulsion along with other emergency therapeutics in operating rooms where local anesthetics are used.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.