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Lipid rescue in children: The prompt decision
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Journal Article
Lipid rescue in children: The prompt decision
2016
Overview
We report the case of a 17-month-old child who underwent laparotomy under general anesthesia and caudal block. Electrocardiogram ST-T changes were observed after local anesthetic injection. The prompt use of Intralipid 30% was successful in normalizing ECG alterations. Our experience is consistent with previous literature, mainly carried out in adults. Thereby, we conduct a brief review of the subject in pediatrics. As a major conclusion, we strongly recommend the “fast-track” lipid rescue as soon as this severe complication is detected.
•We report a local anesthetic systemic toxicity in a 17-month-old child.•Lipid emulsion prompt therapy resulted in positive outcomes.•Toxicity preventive measures must be standardized in all pediatric blockades.•Lipid emulsion and its pediatric protocol must be available in all surgical area.•“Fast-track” lipid rescue should be the first therapeutic choice.
Publisher
Elsevier Inc,Elsevier Limited
Subject
/ Anesthesia & Perioperative Care
/ Anesthesia, Caudal - adverse effects
/ Anesthesia, Local - adverse effects
/ Anesthetics, Local - adverse effects
/ Bupivacaine - adverse effects
/ Bupivacaine - analogs & derivatives
/ Fat Emulsions, Intravenous - therapeutic use
/ Humans
/ Infant
/ Lipids
/ Male
/ Ostomy
/ Time
/ Toxicity
