頁籤選單縮合
題名 | Successful Reversal of Bupivacaine and Lidocaine-induced Severe Junctional Bradycardia by Lipid Emulsion Following Infraclavicular Brachial Plexus Block in a Uremic Patient |
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作者姓名(外文) | Shih, Yu-hsuan; Chen, Chen-hsiu; Wang, Ying-ming; Liu, Kang; | 書刊名 | Acta Anaesthesiologica Taiwanica |
卷期 | 49:2 2011.06[民100.06] |
頁次 | 頁72-74 |
分類號 | 415.31 |
關鍵詞 | Bradycardia; Bupivacaine; Drug toxicity; Fat emulsions; Intravenous; Uremia; |
語文 | 英文(English) |
英文摘要 | Cardiac toxicity of bupivacaine has long been documented and it could be potentiated in certain circumstances, such as preexisting cardiac conduction abnormality or uremic status. The concept that lipid emulsion acts as a rescue of bupivacaine’s toxicity has prevailed pending universal recognition. Herein, we report the successful use of lipid to resuscitate a female uremic patient who sustained junctional bradycardia while she was receiving ultrasound-guided infraclavicular brachial plexus block with the dose of local anesthetics far below the currently recommended maximum one. The possible mechanisms for the occurrence of cardiotoxicity in this case are discussed and the role of lipid emulsion as a treatment is reviewed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。