[Accidental intravascular injection of 0.5% ropivacaine during thoracic epidural anesthesia: case reports.]. / Injeção intravascular acidental de ropivacaína a 0,5% durante a realização de anestesia peridural torácica: relato de casos.
Rev Bras Anestesiol
; 54(6): 802-8, 2004 Dec.
Article
em Pt
| MEDLINE
| ID: mdl-19471793
BACKGROUND AND OBJECTIVES: Ropivacaine was introduced in the clinical practice a little more than 10 years ago, and has been associated to low risk for central nervous system and cardiovascular complications. These reports aimed at presenting a case of cardiac arrest and another one of neurological toxicity after accidental intravascular ropivacaine injection during epidural anesthesia. CASE REPORTS: Two patients undergoing cosmetic plastic surgeries were submitted to thoracic epidural anesthesia with 0.5% ropivacaine. After anesthetic injection, one has presented cardiac arrest in asystole and the other had signs of neurological toxicity. Patients were promptly treated and presented fast recovery, in a way that both surgical procedures could be performed. CONCLUSIONS: The prompt Identification and treatment of the accidental intravascular injection, as well as ropivacaine pharmacological profile, were decisive in both cases for the satisfactory recovery of our patients.
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1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
Pt
Revista:
Rev Bras Anestesiol
Ano de publicação:
2004
Tipo de documento:
Article
País de publicação:
Brasil