Anesthesia for Aesthetic Surgery

Bennett, Gary Dean

doi:10.1007/978-3-642-21837-8_9

Cited by 2 publications

(1 citation statement)

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“…With Lipid Rescue Numerous case reports have described successful resuscitation for intractable arrhythmias, asystole, and acute intoxication from local anesthetics with infusion of 20% lipid emulsions including Intralipid (Baxter, DeerÞ eld, Ill) and Liposyn (Hospira, Lake Forest, Ill). 22 Groban and Butterworth 23 concluded that lipid bolus emulsion should be used to treat bupivacaine overdosage, that propofol should be used for local anesthetic-induced cardiac arrest only after all other conventional (ACLS) treatments have proved unsuccessful, and only if lipid infusion (without the active di-isopropylphenol anesthetic) is not available, and that local anesthesia-induced seizures respond to propofol but not to the use of lipid. 24 According to the report by Litz et al, 25 ropivacaine 1% 40 mL was mistakenly injected as part of an axillary block in an 84-year-old female.…”

Section: Local Anesthetic Toxicities and Fatalities Treatedmentioning

confidence: 99%

Lipid Rescue: Lifesaving Treatment for Toxicity and Cardiac Arrest Secondary to Local Anesthetics Including Bupivacaine

Shiffman¹

2011

Am J Cosmet Surg

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The occurrence of toxicity from local anesthetics has been reported, including cardiac toxicity resulting in cardiac arrhythmias and/or asystole. A variety of techniques have been used to treat local anesthetic toxicities; however, with cardiac arrest, a relatively new concept—lipid rescue—has been formulated that appears to be relatively successful. The author discusses the literature on local anesthetic toxicities and fatalities, animal research concerning lipid rescue, local anesthetic toxicities, and fatalities treated with lipid rescue, as well as the Practice Advisory on Treatment of Local Anesthetic Systemic Toxicity.

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