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Paediatr Anaesth. 2010 Oct;20(10):955-7. doi: 10.1111/j.1460-9592.2010.03406.x.

Successful resuscitation of bupivacaine-induced cardiotoxicity in a neonate.

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Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.


We report a case of bupivacaine-induced cardiotoxicity in a neonate following caudal epidural block under general anesthesia for urologic surgery. Prompt recognition of the complication allowed early intervention with both standard resuscitative measures and administration of 20% Intralipid(®) , resulting in a good outcome.

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