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CASE REPORT

Intravenous Lipid Infusion in the Successful Resuscitation of Local Anesthetic-Induced Cardiovascular Collapse After Supraclavicular Brachial Plexus Block

From the Department of Anesthesiology, University of Alabama, School of Medicine, Birmingham, Alabama.

Address correspondence and reprint requests to Julio A. Warren, MD, Department of Anesthesiology, University of Alabama, School of Medicine, Birmingham, AL. Address e-mail to julio{at}uab.edu.

We describe a case of successful resuscitation with an IV lipid infusion of local anesthetic-induced cardiovascular toxicity after supraclavicular brachial plexus block with mepivacaine and bupivacaine. Lipid therapy was initiated after 10 min of unsuccessful resuscitation and resulted in restoration of cardiovascular activity and hemodynamic stability. This case illustrates the utility of IV lipid therapy in the treatment of local anesthetic toxicity.

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