Local anaesthetic toxicity in a pregnant patient undergoing lignocaine-induced intravenous regional anaesthesia.
Kelly, D J
AffiliationDepartment of Anaesthesia and Intensive Care, Cork University Hospital, Ireland.
Anesthetics, Local/*adverse effects
MetadataShow full item record
CitationActa Anaesthesiol Scand. 1998 Feb;42(2):267-9.
JournalActa anaesthesiologica Scandinavica
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.
- Effectiveness of ondansetron as an adjunct to lidocaine intravenous regional anesthesia on tourniquet pain and postoperative pain in patients undergoing elective hand surgery: a systematic review protocol.
- Authors: Badeaux J, Bonanno L, Au H
- Issue date: 2015 Jan
- Comparison of the effects and disposition kinetics of articaine and lidocaine in 20 patients undergoing intravenous regional anaesthesia during day case surgery.
- Authors: Simon MA, Vree TB, Gielen MJ, Booij LH
- Issue date: 1998 Apr
- Comparison of intravenous regional anaesthesia with lidocaine and ropivacaine in dogs.
- Authors: Imani Rastabi H, Mirzajani R, Givi ME, Mohammadpoor M
- Issue date: 2021 Nov
- Disposition of lignocaine for intravenous regional anaesthesia during day-case surgery.
- Authors: Simon MA, Gielen MJ, Vree TB, Booij LH
- Issue date: 1998 Jan
- Haemostatic changes caused by i.v. regional anaesthesia with lignocaine.
- Authors: Niemi TT, Kuitunen AH, Vahtera EM, Rosenberg PH
- Issue date: 1996 Jun