Journals / Türk Anestezi ve Reanimasyon Dergisi / 2012 / Cilt: 40 - Sayı: 1

Two convulsions caused by local anesthesic toxicity in the same patient: A case report

Aynı hastada iki kez lokal anestezik toksisitesine bağlı konvülziyon gelişmesi

Pages
58–62
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case, we report two incidents of convulsive attacks caused by two differenttypes of regional blocks in the same patient at separate occasions which were alleviated with pharmacotherapy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Different regional anesthetic techniques and several local anesthetics have been widely used for extremity surgeries.We may occasionally encounter some complications due to block technique or local anesthetics ranging from minimalto serious, even fatal outcomes.
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Key Findings & Data:Different regional anesthetic techniques and several local anesthetics have been widely used for extremity surgeries.We may occasionally encounter some complications due to block technique or local anesthetics ranging from minimalto serious, even fatal outcomes.
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Conclusion & Impact:In this case, we report two incidents of convulsive attacks caused by two differenttypes of regional blocks in the same patient at separate occasions which were alleviated with pharmacotherapy.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Different regional anesthetic techniques and several local anesthetics have been widely used for extremity surgeries.We may occasionally encounter some complications due to block technique or local anesthetics ranging from minimalto serious, even fatal outcomes. In this case, we report two incidents of convulsive attacks caused by two differenttypes of regional blocks in the same patient at separate occasions which were alleviated with pharmacotherapy.

Özet

Ekstremite cerrahilerinde çok çeşitli lokal anestezik ilaçlar ve bölgesel anestezi yöntemleri yaygın olarak kullanılmak tadır. Ender olarak da olsa, uygulanan blok tekniğine veya lokal anestezik maddeye ilişkin minimal veya ciddi, hattayaşamı tehdit edebilen komplikasyonlarla karşılaşabilmekteyiz. Bu olgu sunumunda, aynı hastada ayrı zamanlarda,farklı blok uygulamaları sırasında iki kez karşılaştığımız ve müdahale ile düzelen konvülziyon durumunu sunmaktayız.

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Cite This Article

ARAZ, C., CANDAN, S., ARSLAN, G., CAMKIRAN, A. (2022). Two convulsions caused by local anesthesic toxicity in the same patient: A case report. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 40 - Sayı: 1, 58–62. https://ajindex.com/articles/619802

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References (13)

  1. Brown DL, Ransom DM, Hall JA, Leicht CH, Schroeder DR, Offord KP. Regional anesthesia and local anesthetic-induced systemic toxicity: seizure frequency and accompanying cardiovas cular changes. Anesth Analg 1995
  2. http://dx.doi.org/10.1213/00000539-199508000- 00020 2. Crews JC, Rothman TE. Seizure after levobupi vacaine for interscalene brachial plexus block. Anesth Analg 2003
  3. http://dx.doi.org/10.1213/01.ANE.0000053235. 07186.39 3. Sardesai AM, Patel R, Denny NM, et al. Interscale ne brachial plexus block: can the risk of entering the spinal canal be reduced? A study of needle angles in volunteers undergoing magnetic reso nance imaging. Anesthesiology 2006
  4. http://dx.doi.org/10.1097/00000542-200607000- 00006 PMid:16809988 4. Müller M, Litz RJ, Hüler M, Albrecht DM. Grand mal convulsion and plasma concentrations af ter intravascular injection of ropivacaine for axillary brachial plexus blockade. Br J Anaesth 2001
  5. http://dx.doi.org/10.1093/bja/87.5.784 PMid:11878534 5. Bartholomew K, Sloan JP. Prilocaine for Bier’s block: how safe is safe? Arch Emerg Med 1990
  6. PMid:2152460 PMCid:1285699 6. Mather LE, Copeland SE, Ladd LA. Acute toxicity of local anesthetics: underlying pharmacokine tic and pharmacodynamic concepts. Reg Anesth Pain Med 2005
  7. http://dx.doi.org/10.1016/j.rapm.2005.07.186 PMid:16326341 7. Kocamanoglu IS, Sarihasan B. Lokal Anestezik ler: Yeni Bir Lokal Anestezik
  8. Levobupivakain. O.M.Ü. Tip Dergisi 2007
  9. Ala-Kokko TI, Löppönen A, Alahuhta S. Two ins tances of central nervous system toxicity in the same patient following repeated ropivacaine induced brachial plexus block. Acta Anaesthe siol Scand 2000
  10. http://dx.doi.org/10.1034/j.1399-6576.2000.00522.x PMid:10786752 9. Foster RH, Markham A. Levobupivacaine: a revi ew of its pharmacology and use as a local ana esthetic. Drugs 2000
  11. http://dx.doi.org/10.2165/00003495-200059030- 00013 PMid:10776835 10. Hsu CH, Lin TC, Yeh CC, Ho ST, Wong CS. Con vulsions during superior laryngeal nerve block--a case report. Acta Anaesthesiol Sin 2000
  12. PMid:11000673 11. Dernedde M, Furlan D, Verbesselt R, Gepts E, Boogaerts JG. Grand mal convulsion after an accidental intravenous injection of ropivacaine. Anesth Analg 2004
  13. http://dx.doi.org/10.1213/01.ANE.0000096008. 24193.05 12. Ludot H, Tharin JY, Belouadah M, Mazoit JX, Malinovsky JM. Successful resuscitation after ropivacaine and lidocaine-induced ventric