Local anaesthetic toxicity in a pregnant patient undergoing lignocaine-induced intravenous regional anaesthesia.
| dc.contributor.author | Coleman, M | |
| dc.contributor.author | Kelly, D J | |
| dc.date.accessioned | 2012-02-03T15:14:45Z | |
| dc.date.available | 2012-02-03T15:14:45Z | |
| dc.date.issued | 2012-02-03T15:14:45Z | |
| dc.identifier.citation | Acta Anaesthesiol Scand. 1998 Feb;42(2):267-9. | en_GB |
| dc.identifier.issn | 0001-5172 (Print) | en_GB |
| dc.identifier.issn | 0001-5172 (Linking) | en_GB |
| dc.identifier.pmid | 9509215 | en_GB |
| dc.identifier.uri | http://hdl.handle.net/10147/209194 | |
| dc.description.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. | |
| dc.language.iso | eng | en_GB |
| dc.subject.mesh | Adult | en_GB |
| dc.subject.mesh | *Anesthesia, Intravenous | en_GB |
| dc.subject.mesh | Anesthetics, Local/*adverse effects | en_GB |
| dc.subject.mesh | Female | en_GB |
| dc.subject.mesh | Humans | en_GB |
| dc.subject.mesh | Lidocaine/*adverse effects | en_GB |
| dc.subject.mesh | Pregnancy | en_GB |
| dc.title | Local anaesthetic toxicity in a pregnant patient undergoing lignocaine-induced intravenous regional anaesthesia. | en_GB |
| dc.contributor.department | Department of Anaesthesia and Intensive Care, Cork University Hospital, Ireland. | en_GB |
| dc.identifier.journal | Acta anaesthesiologica Scandinavica | en_GB |
| dc.description.province | Munster | |
| html.description.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. |