정맥내부위마취의 합병증 [ 증례보고 ]

Intravenous regional anesthesia is a convenient anesthetic technique of for some cases of surgery to the legs, fingers, or forearms, especially with a full stomach. However as in other anesthesia, we must watch closely and check the equipment for intravenous regional anesthesia earefully. The author had experience with a case of complication of intravenous regional anesthesia with a defective touraiguet which allowed local anesthetic to leak into the general circulation, and the patient developed convulsions, unconciousness, tachycardia, tachypnea, and hypertention about 40 seconds after injection of lidocaine 200 mg (0.5%) into a regional vein just above the wound. The patient was intubated after induction with thiopental sodium 250 mg and succinylcholine 80 mg intravenously. Fortunately the convulsion disappeared and vital signs became stable after injection of thiopeewil sodium. The patient tolerated the surgery well and was discharged in a healthy state on the 6th postoperative day.