Ventricular fibrillation after accidental injection of bupivacaine into the pericardium.

Abstract:

:A postoperative cardiac surgical patient developed ventricular fibrillation immediately after accidental pericardial injection of bupivacaine at room temperature. The possible causes, which include systemic toxicity, local vasoconstriction with myocardial ischaemia, local toxic effect of bupivacaine or local hypothermia, are discussed.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Even BJ,De Jongh RF,De Hert SG

doi

10.1111/j.1365-2044.1992.tb04202.x

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

1055-6

issue

12

eissn

0003-2409

issn

1365-2044

journal_volume

47

pub_type

杂志文章
  • Facial signs of respiratory distress after cardiac surgery. A plea for the clinical approach to mechanical ventilation.

    abstract::The face is a rich source of information about the respiratory, cardiovascular and neurological state of the patient. These systems are particularly affected in the adult respiratory distress syndrome (ARDS) after cardiac surgery. It is possible to make firm decisions about mechanical ventilation by scrupulously caref...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1976.tb12332.x

    authors: Gilston A

    更新日期:1976-04-01 00:00:00

  • Nitrous oxide sedation in dentistry. A comparison between Rotameter settings, pharyngeal concentrations and blood levels of nitrous oxide.

    abstract::Nitrous oxide concentrations (V/V) at the delivery Rotameters block, nasal mask, pharynx and venous blood, were compared. There was a dilution of approximately 50% of the delivered nitrous oxide at the nasal mask which was further reduced in the pharynx. Venous blood concentrations 10 minutes after inhalation of nitro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1984.tb07233.x

    authors: Sher AM,Braude BM,Cleaton-Jones PE,Moyes DG,Mallett J

    更新日期:1984-03-01 00:00:00

  • Postoperative obstructive sleep apnoea. Haemodynamic effects of treatment with nasal CPAP.

    abstract::A 74-year-old man presenting for aortic reconstructive surgery showed severe, previously undiagnosed obstructive sleep apnoea during overnight oximetry monitoring before operation. Postoperatively, in the first 4 hours following extubation, he suffered 238 episodes of respiratory obstruction. These events were associa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09599.x

    authors: Reeder MK,Goldman MD,Loh L,Muir AD,Casey KR,Gitlin DA

    更新日期:1991-10-01 00:00:00

  • Propofol and serum potassium.

    abstract::The aim of this study was to examine the effect of propofol and propofol with suxamethonium on serum potassium concentration during induction of general anaesthesia. Forty patients were studied during elective surgery and serum electrolytes were measured before and after the induction of anaesthesia. Patients were all...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb01959.x

    authors: Fogarty DJ,McCleane GJ

    更新日期:1992-01-01 00:00:00

  • Respiratory disturbance during recovery from etomidate anaesthesia.

    abstract::A case is described in which recovery from the administration of a single dose of etomidate was complicated by periodic episodes of unconsciousness, tremor and apnoea. Subsequent investigations did not reveal any evidence of neurological disease. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05415.x

    authors: Parker CJ

    更新日期:1988-01-01 00:00:00

  • The prevalence and association with transfusion, intensive care unit stay and mortality of pre-operative anaemia in a cohort of cardiac surgery patients.

    abstract::Anaemia is increasingly prevalent in the United Kingdom. Despite recommendations to the contrary, many patients undergo cardiac surgery with undiagnosed and untreated anaemia. According to the World Health Organization definition, 1463/2688 (54.4%) patients undergoing cardiac surgery between 2008 and 2009 in our insti...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06819.x

    authors: Hung M,Besser M,Sharples LD,Nair SK,Klein AA

    更新日期:2011-09-01 00:00:00

  • Management of donors for heart and heart-lung transplantation.

    abstract::The quality of donor organs will determine the quality of life for the recipient and the importance of optimal management of the multi-organ donor is that the organs may benefit up to five, critically ill, patients. The basic principle is to maintain sufficient preload to minimise the need for inotropic support and it...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14396.x

    authors: Ghosh S,Bethune DW,Hardy I,Kneeshaw J,Latimer RD,Oduro A

    更新日期:1990-08-01 00:00:00

  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00

  • Measurement of tidal flow using a transit-time ultrasonic breath analyser.

    abstract::The ability of the Transit-time Ultrasonic Breath Analyser (TUBA, GHG Medical Electronics GMBH, Zürich, Switzerland) to measure peak flow and tidal volume in the laboratory was tested using a variety of flow and pressure conditions, chosen to simulate the respiratory patterns of patients receiving mechanical ventilato...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb05999.x

    authors: Williams EM,Burrough SL,McPeak H

    更新日期:1995-05-01 00:00:00

  • Pregnanolone emulsion. A preliminary pharmacokinetic and pharmacodynamic study of a new intravenous anaesthetic agent.

    abstract::Pregnanolone emulsion, a new steroid anaesthetic agent, was administered intravenously as bolus doses to six young healthy male volunteers in a preliminary pharmacokinetic and pharmacodynamic study. The plasma concentration-time curves fitted a two-compartment model. The elimination half-life was between 0.9 and 1.4 h...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1990.tb14683.x

    authors: Carl P,Høgskilde S,Nielsen JW,Sørensen MB,Lindholm M,Karlen B,Bäckstrøm T

    更新日期:1990-03-01 00:00:00

  • Subacute pain and function after fast-track hip and knee arthroplasty.

    abstract::In a well-defined fast-track setup for total hip and knee arthroplasty, with a multimodal analgesic regimen consisting of intra-operative local anaesthetic infiltration and oral celecoxib, gabapentin and paracetamol for 6 days postoperatively, we conducted a prospective, consecutive, observational study. The purpose w...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2008.05831.x

    authors: Andersen LØ,Gaarn-Larsen L,Kristensen BB,Husted H,Otte KS,Kehlet H

    更新日期:2009-05-01 00:00:00

  • Epidural analgesia for elective Caesarean section. Technique and its assessment.

    abstract::A technique is described of epidural anaesthesia for electric Caesarean section which has a 98% success rate, and an acceptably low incidence of intra-operative pain. The essentials of the technique are to produce and maintain complete sensory block from S5 to T6, employing a two-stage injection of bupivacaine 0.5% (m...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03711.x

    authors: Thorburn J,Moir DD

    更新日期:1980-01-01 00:00:00

  • Epidural sufentanil versus intramuscular buprenorphine for postoperative analgesia. A double-blind comparative trial.

    abstract::Epidural sufentanil 50 micrograms was compared with intramuscular buprenorphine 0.3 mg for postoperative pain relief. Patients were assigned randomly to one of two treatment groups and received both an intramuscular and epidural injection, one of which was a placebo. Onset of pain relief was faster and quality of anal...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1987.tb05222.x

    authors: Donadoni R,Rolly G

    更新日期:1987-11-01 00:00:00

  • Epidural blood patch using a catheter. Diagnosis of an unrecognised dural tap.

    abstract::Twenty five patients were treated with an epidural blood patch for persistent headache, following a known or suspected dural puncture. Fifteen to 20 ml blood was injected into the epidural space through a catheter inserted one space away from the dural puncture. The catheter technique was useful in confirming the clin...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10616.x

    authors: Shah JL,Veness AM

    更新日期:1985-11-01 00:00:00

  • Effect of premedication with controlled-release oral morphine on postoperative pain. A comparison with intramuscular morphine.

    abstract::Thirty fit patients presenting for elective total hip replacement were randomly allocated to receive a premedication of 60 or 90 mg controlled-release oral morphine or 15 mg intramuscular morphine. Postoperative analgesia was assessed using on-demand intravenous pethidine supplementation requirements. In 15 patients f...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1985.tb10844.x

    authors: Slowey HF,Reynolds AD,Mapleson WW,Vickers MD

    更新日期:1985-05-01 00:00:00

  • Epidural anaesthesia and thrombocytopenia.

    abstract::A case is presented of a mother with unanticipated profound thrombocytopenia who received a continuous epidural anaesthetic for labour. No neurological sequelae or excessive bleeding occurred. It is clear, after a review of the literature, that more information is needed to define the lower limits of platelet count at...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb09270.x

    authors: Hew-Wing P,Rolbin SH,Hew E,Amato D

    更新日期:1989-09-01 00:00:00

  • Blood glucose in anaesthetised children. Comparison of blood glucose concentrations in children fasted for morning and afternoon surgery.

    abstract::Blood glucose levels were measured immediately after induction of anaesthesia and again intraoperatively in 26 children fasted overnight for operations in the morning and 28 children fasted from 8.00 a.m. for afternoon surgery. The mean post-induction glucose concentration of the afternoon surgery group was significan...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12787.x

    authors: Redfern N,Addison GM,Meakin G

    更新日期:1986-03-01 00:00:00

  • Oxytocin at elective caesarean delivery: a dose-finding study in women with obesity.

    abstract::Prophylactic oxytocin administration at the third stage of labour reduces blood loss and the need for additional uterotonic drugs. Obesity is known to be associated with an increased risk of uterine atony and postpartum haemorrhage. It is unknown whether women with obesity require higher doses of oxytocin in order to ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15322

    authors: Peska E,Balki M,Maxwell C,Ye XY,Downey K,Carvalho JCA

    更新日期:2020-11-23 00:00:00

  • High capacity suction technique. A method of reducing the aspiration hazard during induction.

    abstract::A suction booster is described which may be interposed between the endotracheal tube and the main suction system. This allows suction to be instantly ready throughout the intubation procedure, the rate of suction to be increased up to ten-fold, and all solid particles which can pass through the tracheal tube to be rem...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb04935.x

    authors: Ruben H,Hansen E,MacNaughton FI

    更新日期:1979-04-01 00:00:00

  • Tracheal versus intravenous atropine. A comparison of the effects on heart rate.

    abstract::Atropine 600 micrograms was given either intravenously or intratracheally and the change in heart rate noted in a double-blind, randomised study of 40 anaesthetised patients. There was no significant difference between the two groups in the maximum increase in heart rate, 20.3 beats/minute in the tracheal compared to ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1987.tb05226.x

    authors: Bray BM,Jones HM,Grundy EM

    更新日期:1987-11-01 00:00:00

  • The effects of ropivacaine hydrochloride on platelet function: an assessment using the platelet function analyser (PFA-100).

    abstract::Amide local anaesthetics impair blood clotting in a concentration-dependent manner by inhibition of platelet function and enhanced fibrinolysis. We hypothesised that the presence of ropivacaine in the epidural space could decrease the efficacy of an epidural blood patch, as this technique requires that the injected bl...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2001.01760.x

    authors: Porter J,Crowe B,Cahill M,Shorten G

    更新日期:2001-01-01 00:00:00

  • A comparative study of preload-adjusted maximal and peak power: assessment of ventricular performance in clinical practice.

    abstract::This study was performed to determine whether preload-adjusted peak power can act as a surrogate for preload-adjusted maximal power in the assessment of left ventricular performance in the clinical setting. Ninety-nine consecutive patients who had undergone elective coronary artery bypass grafting were studied. Fifty-...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2004.03974.x

    authors: Amà R,Claessens T,Roosens C,Segers P,Verdonck P,Poelaert J

    更新日期:2005-01-01 00:00:00

  • Effect of sufentanil on intracranial pressure in neurosurgical patients.

    abstract::The effects of sufentanil on intracranial pressure, mean arterial pressure, cerebral perfusion pressure and heart rate were studied in 20 neurosurgical intensive care unit patients. Epidural intracranial pressure probes were implanted in patients who suffered head injury, intracerebral haemorrhage or underwent tumour ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09596.x

    authors: Weinstabl C,Mayer N,Richling B,Czech T,Spiss CK

    更新日期:1991-10-01 00:00:00

  • Dose-response relationship and effective time to satisfactory intubation conditions after rocuronium in children.

    abstract::We assessed the neuromuscular blocking effects of, and intubation conditions following, rocuronium in 81 children aged 2-12 years. The study was conducted in three parts. Parts 1 and 2 were undertaken during anaesthesia with thiopentone, alfentanil and nitrous oxide. Neuromuscular blockade was evaluated by recording t...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1997.121-az0115.x

    authors: Hopkinson JM,Meakin G,McCluskey A,Baker RD

    更新日期:1997-05-01 00:00:00

  • The effect of acupuncture on the incidence of postextubation laryngospasm in children.

    abstract::Laryngospasm occurring after tracheal extubation in children is potentially dangerous. This study uses acupuncture with bloodletting at the Shao Shang (L 11) or Shang Yang (Li 1) acupoints to investigate whether this technique can prevent or treat laryngospasm. Seventy-six patients were randomly divided into two group...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1998.00535.x

    authors: Lee CK,Chien TJ,Hsu JC,Yang CY,Hsiao JM,Huang YR,Chang CL

    更新日期:1998-09-01 00:00:00

  • The effect of subhypnotic doses of propofol on the incidence of pruritus after intrathecal morphine for caesarean section.

    abstract::The effect of subhypnotic doses of propofol on intrathecal morphine-induced pruritus was studied in a prospective, randomly allocated, double-blind controlled trial. Fifty-eight women undergoing elective lower segment Caesarean section for a singleton fetus received spinal anaesthesia with 2.5 ml hyperbaric 0.5% bupiv...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1997.069-az0060.x

    authors: Warwick JP,Kearns CF,Scott WE

    更新日期:1997-03-01 00:00:00

  • Narcotic-induced choledochoduodenal sphincter spasm reversed by naloxone. A case report and review.

    abstract::A case report of biliary colic induced by narcotic premedication and reversed by naloxone administration is described and the literature reviewed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12960.x

    authors: Bird KJ

    更新日期:1986-11-01 00:00:00

  • Coronary artery angioplasty for treatment of peri-operative myocardial ischaemia.

    abstract::Increasing numbers of elderly patients with severe co-existing medical diseases undergo major surgery. With these patients there is also an accompanying risk of age-related cardiovascular complications such as life-threatening myocardial ischaemia. We present a patient who suffered a myocardial infarction after a hemi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.04031.x

    authors: Obal D,Kindgen-Milles D,Schoebel F,Schlack W

    更新日期:2005-02-01 00:00:00

  • Agent-specific filling devices. An evaluation of two prototypes.

    abstract::Two prototype agent-specific devices have been tested and neither in its present form is ideal. Filling of vaporisers may be delegated to inexperienced persons but the devices tested do not ensure that vaporisers can only be filled with the correct agent. Significant atmospheric pollution with the volatile anaesthetic...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03923.x

    authors: O'Carroll TM,Greenbaum R,Thornton PG

    更新日期:1980-08-01 00:00:00

  • Dutch case-control study of anaesthesia-related morbidity and mortality. Rationale and methods.

    abstract::To date, anaesthesia-related mortality, morbidity and risk factors have almost exclusively been studied qualitatively rather than quantitatively. Therefore, knowledge of the relative risk associated with many anaesthesia-related factors is still lacking. Recently, a quantitative study of the determinants and preventio...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1365-2044.1998.00303.x

    authors: Arbous MS,Grobbee DE,van Kleef JW,Meursing AE

    更新日期:1998-02-01 00:00:00