JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (5)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ahmed, S. U.
Right arrow Articles by Hord, E. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ahmed, S. U.
Right arrow Articles by Hord, E. D.
Related Collections
Right arrow Complications
Right arrow Regional Anesthesia

Anesth Analg 2004;99:593-594
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000123011.00161.C9

REGIONAL ANESTHESIA

Seizures After a Bier Block with Clonidine and Lidocaine

Shihab U. Ahmed, MB BS, MPH, Ricardo Vallejo, MD PhD, and E. Daniela Hord, MD

Massachusetts General Hospital Pain Center, Department of Anesthesia and Critical Care, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

Address correspondence and reprint requests to Shihab U. Ahmed, MD, Massachusetts General Hospital Pain Center, WACC-324, Massachusetts General Hospital, 15 Parkman St., Boston, MA 02114. Address e-mail to sahmed{at}partners.org

A 47-yr-old man with history of complex regional pain syndrome type 1 underwent an IV Bier block with a mixture of lidocaine and clonidine. The tourniquet was deflated after 60 min, and approximately 10 min later he presented with complex partial seizures. The possible mechanisms for this are discussed, and the effects of clonidine, lidocaine, and the mixture of both are reviewed, as are four additional published cases reporting seizures after the administration of clonidine.

IMPLICATIONS: Clonidine is being used increasingly as an adjuvant medication for neuropathic pain and to improve the duration of regional anesthesia. Four cases of seizures associated with the use of clonidine have been reported. We present a case of seizure after a Bier block with lidocaine and clonidine in a patient with complex regional pain syndrome type I.




This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
S. U. Ahmed, R. Vallejo, and E. D. Hord
Seizures After a Bier Block with Clonidine and Lidocaine: Is Clonidine Really the Culprit?
Anesth. Analg., September 1, 2005; 101(3): 924 - 924.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
S. Datta, U. Pai, P. O. Bridenbaugh, and A. Walia
Seizures After a Bier Block with Clonidine and Lidocaine: Is Clonidine Really the Culprit?
Anesth. Analg., September 1, 2005; 101(3): 923 - 924.
[Full Text] [PDF]


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 © 2004 by the International Anesthesia Research Society.