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Successful resuscitation after inadvertent intravenous injection of bupivacaine in an adolescent.

机译:青少年意外静脉注射布比卡因后成功复苏。

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We describe a case of accidental intravenous injection of bupivacaine and immediate circulatory arrest in an anesthetized adolescent during an overseas medical mission trip. The patient was successfully resuscitated with cardiopulmonary resuscitation (CPR) and possibly with early administration of intralipid emulsion (ILE) with complete recovery.A 13-year-old, 50 kg, 143 cm tall and ASA I physical status healthy adolescent girl was scheduled for an elective cleft lip and palate repair. General anesthesia was induced with intravenous propofol 3 mg-kg""1, fentanyl 3 mcg-kg"1, isoflurane in 100% oxygen and 0.1 mg-kg"1 of atracurium to facilitate trachea intubation. Anesthesia was maintained with 1% isoflurane in 50% nitrous oxide and oxygen.
机译:我们描述了在国外医疗任务旅行期间意外麻醉的布比卡因静脉注射和立即循环停止的情况。该患者成功进行了心肺复苏(CPR)的复苏,并可能尽早给予脂质乳剂(ILE)进行了完全恢复。一位13岁,体重50公斤,身高143 cm且具有ASA I身体状况的健康少女计划进行选择性的唇裂和pa裂修复。静脉注射丙泊酚3 mg-kg“” 1,芬太尼3 mcg-kg“ 1,在100%氧气中的异氟烷和0.1 mg-kg” 1的阿曲库铵诱导全身麻醉,以促进气管插管。用50%一氧化二氮和氧气中的1%异氟烷维持麻醉。

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