Local anaesthetic toxicity in a pregnant patient undergoing lignocaine-induced intravenous regional anaesthesia.

Hdl Handle:
http://hdl.handle.net/10147/209194
Title:
Local anaesthetic toxicity in a pregnant patient undergoing lignocaine-induced intravenous regional anaesthesia.
Authors:
Coleman, M; Kelly, D J
Affiliation:
Department of Anaesthesia and Intensive Care, Cork University Hospital, Ireland.
Citation:
Acta Anaesthesiol Scand. 1998 Feb;42(2):267-9.
Journal:
Acta anaesthesiologica Scandinavica
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209194
PubMed ID:
9509215
Abstract:
A pregnant patient at 38 weeks' gestation developed symptoms of local anaesthetic toxicity following intravenous regional anaesthesia (IVRA) for hand surgery, using a standard dose of lignocaine. Reports suggest that a number of factors, both physiological and pharmacological, combine to increase the likelihood of local anaesthetic (LA) toxicity in pregnancy despite employment of a conventional "safe" IVRA technique. It is suggested that for IVRA, pregnant patients are premedicated with a benzodiazepine, the tourniquet time is increased and the concentration of LA is decreased to reduce the risks of LA toxicity.
Language:
eng
MeSH:
Adult; *Anesthesia, Intravenous; Anesthetics, Local/*adverse effects; Female; Humans; Lidocaine/*adverse effects; Pregnancy
ISSN:
0001-5172 (Print); 0001-5172 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorColeman, Men_GB
dc.contributor.authorKelly, D Jen_GB
dc.date.accessioned2012-02-03T15:14:45Z-
dc.date.available2012-02-03T15:14:45Z-
dc.date.issued2012-02-03T15:14:45Z-
dc.identifier.citationActa Anaesthesiol Scand. 1998 Feb;42(2):267-9.en_GB
dc.identifier.issn0001-5172 (Print)en_GB
dc.identifier.issn0001-5172 (Linking)en_GB
dc.identifier.pmid9509215en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209194-
dc.description.abstractA pregnant patient at 38 weeks' gestation developed symptoms of local anaesthetic toxicity following intravenous regional anaesthesia (IVRA) for hand surgery, using a standard dose of lignocaine. Reports suggest that a number of factors, both physiological and pharmacological, combine to increase the likelihood of local anaesthetic (LA) toxicity in pregnancy despite employment of a conventional "safe" IVRA technique. It is suggested that for IVRA, pregnant patients are premedicated with a benzodiazepine, the tourniquet time is increased and the concentration of LA is decreased to reduce the risks of LA toxicity.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.mesh*Anesthesia, Intravenousen_GB
dc.subject.meshAnesthetics, Local/*adverse effectsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLidocaine/*adverse effectsen_GB
dc.subject.meshPregnancyen_GB
dc.titleLocal anaesthetic toxicity in a pregnant patient undergoing lignocaine-induced intravenous regional anaesthesia.en_GB
dc.contributor.departmentDepartment of Anaesthesia and Intensive Care, Cork University Hospital, Ireland.en_GB
dc.identifier.journalActa anaesthesiologica Scandinavicaen_GB
dc.description.provinceMunster-

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