Lipid rescue in children: The prompt decision

Abstract 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 con...

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Veröffentlicht in:	Journal of clinical anesthesia 2016-08, Vol.32, p.248-252
Hauptverfasser:	Eizaga Rebollar, Ramón, MD, García Palacios, María V., MD, PhD, Morales Guerrero, Javier, MD, Torres Morera, Luis M., MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia Anesthesia & Perioperative Care Anesthesia, Caudal - adverse effects Anesthesia, Local - adverse effects Anesthetics, Local - adverse effects Blood pressure Bupivacaine - adverse effects Bupivacaine - analogs & derivatives Drug dosages Fat Emulsions, Intravenous - therapeutic use Humans Hyperthermia Infant Lipids Local anesthesia Male Ostomy Pain Medicine Pancreatitis Pediatrics Prevention Time Toxicity Treatment Outcome
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Zusammenfassung:	Abstract 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.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/j.jclinane.2016.03.018