Korean J Anesthesiol.  1978 Mar;11(1):79-80.

A Complication of Intraveaous Regional Anesthesia: A Case Report

• Kwon BY

Abstract

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 carefully. 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.

MeSH Terms

Anesthesia
Anesthesia, Conduction*
Fingers
Forearm
Humans
Leg
Lidocaine
Seizures
Sodium
Stomach
Succinylcholine
Tachycardia
Tachypnea
Thiopental
Veins
Vital Signs
Wounds and Injuries
Lidocaine
Sodium
Succinylcholine
Thiopental