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

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    Authors
    Coleman, M
    Kelly, D J
    Affiliation
    Department of Anaesthesia and Intensive Care, Cork University Hospital, Ireland.
    Issue Date
    2012-02-03T15:14:45Z
    MeSH
    Adult
    *Anesthesia, Intravenous
    Anesthetics, Local/*adverse effects
    Female
    Humans
    Lidocaine/*adverse effects
    Pregnancy
    
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    Citation
    Acta Anaesthesiol Scand. 1998 Feb;42(2):267-9.
    Journal
    Acta anaesthesiologica Scandinavica
    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
    ISSN
    0001-5172 (Print)
    0001-5172 (Linking)
    Collections
    Cork University Hospital

    entitlement

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