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Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina
Address correspondence and reprint requests to Stephen M. Klein, MD, Department of Anesthesiology, Box 3094, Duke University Medical Center, Durham, NC 27710. Address e-mail to klein006{at}mc.duke.edu
IMPLICATIONS: This case documents the successful cardiopulmonary resuscitation of a patient after accidental ropivacaine-induced ventricular fibrillation. Despite techniques used to detect intravascular injection, toxicity may still occur; early intervention is essential for an optimal outcome.
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