Eizaga Rebollar Ramón, García Palacios María V, Morales Guerrero Javier, Torres Morera Luis M
Department of Anesthesiology and Reanimation, Puerta del Mar University Hospital, Cádiz, Spain.
Department of Preventive Medicine and Public Health, Puerta del Mar University Hospital, Cádiz, Spain.
J Clin Anesth. 2016 Aug;32:248-52. doi: 10.1016/j.jclinane.2016.03.018. Epub 2016 Apr 20.
We report the case of a 17-month-old child who underwent laparotomy under general anesthesia and caudal block. Electrocardiogram ST-T changes were observed after local anesthetic injection. The prompt use of Intralipid 30% was successful in normalizing ECG alterations. Our experience is consistent with previous literature, mainly carried out in adults. Thereby, we conduct a brief review of the subject in pediatrics. As a major conclusion, we strongly recommend the "fast-track" lipid rescue as soon as this severe complication is detected.
我们报告了一例17个月大的儿童，该患儿在全身麻醉和骶管阻滞下接受了剖腹手术。局部麻醉药注射后观察到心电图ST-T改变。迅速使用30%的脂肪乳成功使心电图改变恢复正常。我们的经验与先前主要在成人中进行的文献一致。因此，我们对儿科领域的这一主题进行简要综述。作为主要结论，我们强烈建议一旦发现这种严重并发症，应尽快进行“快速通道”脂肪乳解救。
