A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity

被引：1
|
作者：
Lavado, Pedro [1 ]
Carvalho, Eduardo [2 ]
Almeida, Manuel [1 ]
Taveira, Isabel [1 ]
Padua, Fernando [2 ]
机构：
[1] Ctr Hosp Univ Algarve, Intens Care Unit, Portimao, Portugal
[2] North Alentejo Local Hlth Unit, Intens Care Unit, Portalegre, Portugal
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2022年 / 14卷 / 10期
关键词：
last; spinal anesthesia; seizure; toxicity; local anesthetic; cardiac arrest; LIPID EMULSION; BUPIVACAINE;
D O I：
10.7759/cureus.29902
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Local anesthetics are widely used by various medical professionals. Although their usefulness is unquestionable, as with any medication, there is a possibility of iatrogenic effects. When local anesthetic systemic toxicity occurs, it might be a life-threatening condition. Knowing its existence and how to act when it arises is crucial. The clinical presentation is wide-ranging, but globally it affects the neurological and cardiovascular system, with cardiac arrest being the extreme of its presentation. The treatment is mainly supportive with an attempt to reverse the effects of the anesthetic by administering a lipid emulsion. Here, we present a clinical case of difficult management with many complications.
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