ISSN: 1859 - 2872
Successful recovery from local anesthetic systemic toxicity following spinal anesthesia - case report
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Abstract
Local anesthetic systemic toxicity (LAST) is a life-threatening complication that may follow application of local anesthesia through various routes. Spinal anesthesia is a commonly used technique. Spinal anesthesia can lead to some complications such as hypotension, bradycardia... However, local anesthetic systemic toxicity following spinal anesthesia is a rare. Case presentation: We reported one case who underwent the local anesthetic systemic toxicity as the complication following spinal anesthesia for surgery on lower extremity. The patient was spinal anesthesia 7mg bupivacaine 0.5% combine 30mcg fentanyl. The patient manifested the initial symptoms after roughly 5 minutes of injection. Patient was presented symptoms of central nervous system and respiratory disturbance. In this case, thorough recovery was obtained by using lipid emulsion 20% therapy. Conclusion: Spinal anesthesia still bears the potential risk of local anesthetic systemic toxicity. We recommend following protocol of lipid emulsion therapy as soon as possible if there is any symptoms related to usage of local anesthesia drugs.
Keywords: Local anesthetic systemic toxicity, spinal anesthesia, lipid emulsion.
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References
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