This Article Full Text Full Text (PDF) An erratum has been published Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (15) Citing Articles via Google Scholar Google Scholar Articles by Ludot, H. Articles by Malinovsky, J.-M. Search for Related Content PubMed PubMed Citation Articles by Ludot, H. Articles by Malinovsky, J.-M. Related Collections Complications Monitoring (Non-cardiac) Regional Anesthesia Pharmacology

---

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, Jean-Xavier Mazoit, MD, PhD, and Jean-Marc Malinovsky, MD, PhD^||

From the *Pediatric Anesthesia Unit, and Department of Pediatric Surgery, American Memorial Hospital, CHU Reims; 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.

This article has been cited by other articles:

				B. A. Howell and A. Chauhan Bupivacaine Binding to Pegylated Liposomes Anesth. Analg., August 1, 2009; 109(2): 678 - 682. [Abstract] [Full Text] [PDF]

				G. L. Weinberg Limits to Lipid in the Literature and Lab: What We Know, What We Don't Know Anesth. Analg., April 1, 2009; 108(4): 1062 - 1064. [Full Text] [PDF]

				M. Harvey, G. Cave, and A. Kazemi Intralipid Infusion Diminishes Return of Spontaneous Circulation After Hypoxic Cardiac Arrest in Rabbits Anesth. Analg., April 1, 2009; 108(4): 1163 - 1168. [Abstract] [Full Text] [PDF]

				P. C. Marwick, A. I. Levin, and A. R. Coetzee Recurrence of Cardiotoxicity After Lipid Rescue from Bupivacaine-Induced Cardiac Arrest Anesth. Analg., April 1, 2009; 108(4): 1344 - 1346. [Abstract] [Full Text] [PDF]

				C. R. Thangaswamy and L. B. Elakkumanan Maximum Recommended Dose for Local Anesthetic Mixture Anesth. Analg., February 1, 2009; 108(2): 669 - 669. [Full Text] [PDF]

				H. Gurnaney, P. Stricker, and A. Ganesh An Ounce of Prevention Is Worth a Pound of Cure: Regional Anesthesia in Children Anesth. Analg., February 1, 2009; 108(2): 669 - 669. [Full Text] [PDF]

				J. C. Rowlingson Lipid Rescue: A Step Forward in Patient Safety? Likely So! Anesth. Analg., May 1, 2008; 106(5): 1333 - 1336. [Full Text] [PDF]

				S. J. Brull Lipid Emulsion for the Treatment of Local Anesthetic Toxicity: Patient Safety Implications Anesth. Analg., May 1, 2008; 106(5): 1337 - 1339. [Full Text] [PDF]

				G. L. Weinberg Lipid Infusion Therapy: Translation to Clinical Practice Anesth. Analg., May 1, 2008; 106(5): 1340 - 1342. [Full Text] [PDF]