Bradycardia, Hypotension, and Cardiac Arrest: A Complication of Local Anesthetics.
bradycardia
cardiotoxicity
local anesthetic toxicity
sinus node arrest
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
07 Feb 2019
07 Feb 2019
Historique:
entrez:
24
4
2019
pubmed:
24
4
2019
medline:
24
4
2019
Statut:
epublish
Résumé
Local anesthetics are routinely used in the field of medicine during many procedures, to alleviate acute pain. Although they are relatively safe, they have the ability to produce undesirable neurotoxic and cardiotoxic symptoms when administered intravascularly. Examples of cardiotoxicity include myocardial depression, cardiac arrhythmias, and cardiovascular collapse. The case below describes the adverse events of severe bradycardia, PR prolongation with subsequent heart block, and sinus arrest following an elective knee replacement in a 73-year-old male who received bupivacaine and ropivacaine.
Identifiants
pubmed: 31011496
doi: 10.7759/cureus.4033
pmc: PMC6456281
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e4033Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Anesth Analg. 2005 Sep;101(3):679-87, table of contents
pubmed: 16115975
Reg Anesth Pain Med. 2009 Jan-Feb;34(1):17-23
pubmed: 19258983
Local Reg Anesth. 2010;3:11-9
pubmed: 22915863
Med J Armed Forces India. 2012 Oct;68(4):371-5
pubmed: 24532907
Anesthesiology. 1994 Mar;80(3):595-605
pubmed: 7908178