Systemic ropivacaine toxicity from a peripheral nerve infusion in a medically complex patient.

Abstract:

:This is a case of systemic ropivacaine toxicity from a sciatic nerve catheter. A 20-year-old patient after heart transplant with poor systemic perfusion on hemodialysis and multiple medications experienced local anesthetic systemic toxicity 72 hours after placement of a peripheral nerve catheter. The case demonstrates the potentially significant impact of medical comorbidities on system absorption of local anesthetics and reinforces that existing dose guidelines are not evidence based, and literature to guide local anesthetic bolus supplementation of continuous infusions is scant.

journal_name

J Clin Anesth

authors

Grigg E,Anderson C,Pankovich M,Martin L,Flack S

doi

10.1016/j.jclinane.2015.03.021

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

338-40

issue

4

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(15)00094-X

journal_volume

27

pub_type

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