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Case Rep Anesthesiol. 2016;2016:7826280. Epub 2016 Oct 31.

Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient.

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Edgard Santos Professor University Hospital, Federal University of Bahia, Salvador, BA, Brazil.


We report a case of a paediatric patient undergoing urological procedure in which a possible inadvertent intravascular or intraosseous injection of bupivacaine with adrenaline in usual doses caused subsequent cardiac arrest, completely reversed after administration of 20% intravenous lipid emulsion. Early diagnosis of local anaesthetics toxicity and adequate cardiovascular resuscitation manoeuvres contribute to the favourable outcome.

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