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Successful resuscitation from bupivacaine‐induced cardiovascular collapse with intravenous lipid emulsion following femoral nerve block in an emergency department
Author(s) -
Harvey Martyn,
Cave Grant,
Chanwai Giles,
Nicholson Tonia
Publication year - 2011
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/j.1742-6723.2011.01401.x
Subject(s) - medicine , bupivacaine , resuscitation , anesthesia , emergency department , femoral nerve block , lipid emulsion , femoral nerve , adverse effect , nerve block , surgery , parenteral nutrition , psychiatry
We report a case of a 69‐year‐old woman with femoral neck fracture undergoing bupivacaine femoral nerve block for preoperative analgesia in an ED. Seizure and cardiovascular collapse developed immediately after instillation of local anaesthetic. Resuscitation including 20% lipid emulsion was successful in achieving normalization of haemodynamic parameters and ECG QRS duration. No adverse sequelae of lipid administration were observed. We recommend the immediate availability of lipid emulsion in emergency room settings where local anaesthetics are used.