Objective: Local anesthetic-induced cardiotoxicity remains a complication of regional anesthesia, with the potential to result in cardiac arrest refractory to resuscitation. Successful resuscitation using Intralipid (Baxter Pharmaceuticals by Fresenius Kabi, Uppsala, Sweden), has been reported in 2 patients with bupivacaine-induced cardiac arrest.
Case Report: We report another case for which Intralipid was used as part of a successful resuscitation in a patient with local anesthetic-induced cardiotoxicity.
Conclusions: Early treatment with Intralipid may help prevent cardiac arrest and speed successful resuscitation efforts.
- Bupivacaine toxicity
- Lipid therapy
- Local anesthetic toxicity
- Lipid rescue
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Reprint requests: Thomas McCutchen, M.D., Department of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157. E-mail:
A condensed version of this case has been posted on the LipidRescue website (http://www.lipidrescue.org).