Ventricular fibrillation associated with use of local nasal anesthesia. Case report

Introduction: Ventricular arrhythmias associated with local anesthetics are very rare. Case presentation: 49-year-old male patient admitted for transsphenoidal surgery to remove pituitary tumor. The infiltration of nasal lidocaine led to ventricular fibrillation that was successfully defibrillated....

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Autores:
Tipo de recurso:
Fecha de publicación:
2018
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
spa
OAI Identifier:
oai:repository.urosario.edu.co:10336/23195
Acceso en línea:
https://doi.org/10.15446/revfacmed.v66n3.61826
https://repository.urosario.edu.co/handle/10336/23195
Palabra clave:
Anesthesia
Arrhythmias
Cardiac
Epinephrine (mesh)
Ventricular fibrillation
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Description
Summary:Introduction: Ventricular arrhythmias associated with local anesthetics are very rare. Case presentation: 49-year-old male patient admitted for transsphenoidal surgery to remove pituitary tumor. The infiltration of nasal lidocaine led to ventricular fibrillation that was successfully defibrillated. Cardiovascular studies did not show any underlying heart disease. Conclusions: Ventricular fibrillation as a side effect of local anesthetics makes necessary assessing risk factors and the capacity to provide appropriate management in cases where the use of such drug is considered. More research is needed to establish risk factors that can predict this complication. © 2018, Universidad Nacional de Colombia. All rights reserved.