Work

Intravenous Lipid Emulsion for Managing Local Anesthetic Toxicity in a Three-Month-Old Patient

Year: 2024

Type: article

Abstract: Local anesthetic systemic toxicity (LAST) is a well-known life-threatening local anesthetics complication, especially if given in inappropriate doses or routes. Therefore, physicians should be aware of LAST symptoms, such as neurological and cardiac symptoms. In addition, they should always consider it in the differential diagnosis when they encounter similar symptoms. The early recognition of LAST and initiation of intravenous lipid emulsion (ILE) can decrease mortality and morbidity rates. Multiple organizations and guidelines use ILE as standard LAST management. We present a three-month-old infant who received a caudal block that was complicated by an inadvertent intravascular injection that led to LAST cardiac symptoms. ILE successfully managed these symptoms, and the patient returned to normal vital signs without any complications.

Source: Cureus

DOI: 10.7759/cureus.75981

Authors: Abdulrahman S Alquzi, Bader Alsabban, Ahmed Bokhari

Institution: King Abdulaziz Medical City

Language: English

Topic: Anesthesia and Pain Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4405600448