Local anesthetic toxicity in interscalene block: Clinical series

Minerva Anestesiologica

Volumn 76, Issue 12, 2010, Pages 1088-1090

  Nishiyama, T ^a   Komatsu, K ^b  

^a Higashi Omiya General Hospital   (Japan)

^b UNIVERSITY OF TOKYO   (Japan)

Author keywords

Brachial plexus neuropathies; Bupivacaine; Lidocaine; Ropivacaine; Toxicity

Indexed keywords

ATROPINE; BUPIVACAINE; DEXTRAN 40; FENTANYL; GLUCOSE; LIDOCAINE; NALOXONE; NEOSTIGMINE; PROPOFOL; ROPIVACAINE; VECURONIUM;

ADULT; AGED; ANESTHESIA INDUCTION; ANESTHESIA LEVEL; ARTICLE; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; DRUG RESPONSE; ENDOTRACHEAL INTUBATION; FEMALE; GENERAL ANESTHESIA; HUMAN; INTENSIVE CARE UNIT; LIGAMENT SURGERY; LOCAL ANESTHESIA; MALE; MOTOR CONTROL; MYDRIASIS; NERVE BLOCK; NERVE STIMULATION; NEUROTOXICITY; TONIC SEIZURE;

AGED; AMIDES; ANESTHETICS, COMBINED; ANESTHETICS, LOCAL; BUPIVACAINE; FEMALE; HUMANS; LIDOCAINE; MALE; MIDDLE AGED; NERVE BLOCK; ORTHOPEDIC PROCEDURES; PUPIL; SEIZURES; SHOULDER JOINT;

EID: 78651241267     PISSN: 03759393     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Dhir S, Ganapathy S, Lindsay P, Athwal GS. Case report: ropivacaine neurotoxicity at clinical doses in interscalene brachial plexus block. Can J Anesth 2007;54:912-6.
2. Korman B, Riley RH. Convulsions induced by ropivacaine during interscalene brachial plexus block. Anesth Analg 1997;85:1128-9.
3. Auroy Y, Narchi P, Messiah A, Litt L, Rouvier B, Samii K. Serious complications related to regional anesthesia. Anesthesiology 1997;87:1027-9.
4. Brown DL, Ransom DM, Hall JA, Leicht CH, Schroeder DR, Offord KP. Regional anesthesia and local anesthetic-induced systemic toxicity: seizure frequency and accompanying cardiovascular changes. Anesth Analg 1995;81:321-8.
5. Scott DB, Lee A, Fagan D, Bowler GMR, Bloomfield P, Lundh R. Acute toxicity of ropivacaine compared with that of bupivacaine. Anesth Analg 1989;69:563-9.
6. Benumof JL. Permanent loss of cervical spinal cord function associated with interscalene block performed under general anesthesia. Anesthesiology 2000;93:1541-4.
7. Karmakar MK, Ho AM, Law BK, Wong AS, Shafer SL, Gin T. Arterial and venous pharmacokinetics of ropivacaine with and without epinephrine after thoracic paravertebral block. Anesthesiology 2005;103:704-11.
8. Raeder JC, Drosdahl S, Klaastad À, Kvalsvik O, Isaksen B, Straàmskag KE et al. Axillary brachial plexus block with ropivacaine 7.5 mg/mL. A comparative study with bupivacaine 5 mg/mL. Acta Anaesthesiol Scand 1999;43:794-8.
9. Knudsen K, Beckman Suurkula M, Blomberg S, Sjovall J, Edvardsson N. Central nervous and cardiovascular effects of i.v. infusions of ropivacaine, bupivacaine and placebo in volunteers. Br J Anaesth 1997;78:507-14.
10. Feldman HS, Arthur GR, Covino BG. Comparative systemic toxicity of convulsant and supraconvulsant doses of intravenous ropivacaine, bupivacaine, and lidocaine in the conscious dog. Anesth Analg 1989;69:794-801.
11. Muller M, Litz RJ, Hubler M, Albrecht DM. Grand mal convulsion and plasma concentrations after intravascular injection of ropivacaine for axillary brachial plexus blockade. Br J Anaesth 2001;87:784-7.
12. Nakamura T, Oda Y, Takahashi R, Tanaka K, Hase I, Asada A. Propranolol increases the threshold for lidocaine-induced convulsions in awake rats: a direct effect on the brain. Anesth Analg 2008;106:1450-5.
13. Yildiz B, Citak A, Ucsel R, Karabocuoglu M, Aydinli N, Uzel N. Lidocaine treatment in pediatric convulsive status epilepticus. Pediatr Int 2008;50:35-9.
14. Kytta J, Heavner JE, Badgwell JM, Rosenberg PH. Cardiovascular and central nervous system effects of co-administered lidocaine and bupivacaine in piglets. Reg Anesth 1991;16:89-94.
15. Mets B, Janicki PK, James MF, Erskine R, Sasman B. Lidocaine and bupivacaine cardiorespiratory toxicity is additive: a study in rats. Anesth Analg 1992;75:611-4.