一名6岁儿童在接受罗哌卡因胸椎旁阻滞术后发生心脏骤停。
Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child.
作者信息
Yamane Yu, Kagawa Tetsuro
机构信息
Department of Anesthesiology, Hyogo Prefectural Kobe Children's Hospital, 1-1-1, Takakuradai, Suma-ku, Kobe, Hyogo 654-0081 Japan.
出版信息
JA Clin Rep. 2015;1(1):25. doi: 10.1186/s40981-015-0015-4. Epub 2015 Dec 29.
Abstract
We encountered cardiac arrest induced by 0.375 % ropivacaine 7 ml administered via a catheter for continuous thoracic paravertebral block (TPVB) in a 6-year-old female who underwent pacemaker implantation for sick sinus syndrome (SSS). She was successfully resuscitated with adrenaline and lipid emulsion. Plasma concentration of ropivacaine was 5.2 μg/ml, suggesting intravascular administration of ropivacaine. Inadvertent intravascular administration is a crucial complication of TPVB.
摘要
我们遇到一名6岁女性，因病态窦房结综合征（SSS）接受起搏器植入术，在通过导管进行连续胸椎旁神经阻滞（TPVB）时，给予7毫升0.375%罗哌卡因后发生心脏骤停。她通过肾上腺素和脂质乳剂成功复苏。罗哌卡因的血浆浓度为5.2μg/ml，提示罗哌卡因血管内给药。意外血管内给药是TPVB的一个关键并发症。
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