Buradasınız

Anasayfa » Content

% 0.5 Ropivakain ile Interskalen Blok Sonrası Konvülsiyon Ve Solunum Depresyonu (Olgu Sunumu)

Convulsion and Respiratory Depression After Interscalene Brachial Plexus Block with 0.5 % Ropivacaine (Case Report)

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this case report, we aimed to discuss a patient presenting with convulsion and respiratory depression after interscalene brachial plexus blockade (ISB) was performed with ropivacaine 0.5%. A 35 years old man, 70 kg in weight and 174 cm in height was taken to operation for right radial nerve repair. ISB was done with 40mL of ropivacaine 0.5% using peripheral nerve stimulator. Clonic convulsions at the face muscles and respiratory depression occurred 3 min later than ISB. Convulsions and hypotension improved without any intervention, bradycardia was not seen. As a result, slow injection should be performed having continuous dialogue with the patient during the ISB procedure. We hold the opinion that even if the aspiration and test dose are negative, physician should be aware to the cardiovascular and central nervous system complications after the local anesthetic injection.
Bookmark/Search this post with
Abstract (Original Language): 
Bu olgu sunumunda %0.5 ropivakain ile yapılan interskalen brakiyal pleksus bloğu (ISB) sonrası konvülsiyon ve solunum depresyonu meydana gelen bir olguyu tartışmayı amaçladık. 35 yaşında , 70 kg ağırlığında, 174 cm boyundaki erkek olgu sağ radiyal sinir onarımı için operasyona alındı. Periferik sinir sitümülatörü kullanılarak 40 mL %0.5 ropivakain ile interskalen blokaj yapıldı. ISB yapıldıktan 3 dk sonra yüz kaslarında klonik kasılmalar ve solunum depresyonu meydana geldi. Konvülsiyon ve hipotansiyon herhangi bir müdahaleye gerek kalmadan kendiliğinden düzeldi, bradikardi görülmedi. Sonuç olarak; ISB işlemi sırasında hasta ile sürekli diyalog halinde olunarak yavaş enjeksiyon yapılmalıdır. Ayrıca, aspirasyon ve test dozu negatif olsa bile lokal anestezik enjeksiyonu sonrası kardiyovasküler ve santral sinir sistemi komplikasyonlarına karşı hazırlıklı olunması gerektiğini düşünüyoruz.
FULL TEXT (PDF): 
PDF icon arastirmax-0.5-ropivakain-ile-interskalen-blok-sonrasi-konvulsiyon-solunum-depresyonu-olgu-sunumu.pdf
  • 3
201-203
  • Turkish

REFERENCES

References: 

1. Chelly JE, Greger J, Al Samsam T, et al. Reduction of operating and recovery room times and overnight hospital stays with interscalene blocks as sole anesthetic technique for rotator cuff surgery. Minerva Anestesiol 2001; 67:613-9.
2. Benjamin G, Wildsmith CAW, Wildsmith JAW. Clinical pharmacology of local anesthetic agents. In: Cousins MJ, Bridenbaugh PO (eds). Neural blockage in clinical anesthesia and management of pain. 3 th edition. Philadelphia: Lippincott Raven Press; 1998, 97-128.
3. Borgeat A, Ekatodramis G, Kalberer F, Benz C. Acute and nonacute complications associated with ınterscalene block and shoulder surgery a prospective study. Anesthesiology 2001; 95:875-80.
4. Knudsen K, Beckman Suurkula M, Blomberg S, Sjövall J, Edvardsson N. Central nervous and cardiovascular effects of i.v. infusions of ropivacaine, bupivacaine and placebo in volunteers. Br J Anaesth 1997; 78:507-14.
5. Singelyn FJ. Clinical application of ropivacaine for the upper extremity. Curr Top Med Chem 2001;1:219-25.
6. Klein SM, Greengrass RA, Steele SM, et al. A comparison of 0.5% bupivacaine, 0.5% ropivacaine, and 0.75% ropivacaine for interscalene brachial plexus block. Anesth
Analg 1998; 87:1316-9.
7. McClure JH. Ropivacaine. Br J Anaesth 1996; 76:300-7.
8. Korman B, Riley RH. Convulsions induced by ropivacaine during interscalene brachial plexus block. Anesth Analg 1997; 85:1128-9.
9. Reinikainen M, Hedman A, Pelkonen O, Ruokonen E. Cardiac arrest after interscalene brachial plexus block with ropivacaine and lidocaine. Acta Anaesthesiol
Scand 2003; 47:904-6.
10. Scammell SJ. Case report: Inadvertent epidural anaesthesia as a complication of interscalene brachial plexus block. Anaesth Intens Care 1979;7:6.
11. Chelly JE, Greger J, Gebhard R, Casati A. How to prevent catastrophic complications when performing ınterscalene blocks. Anesthesiology 2001; 95:1302.
12. Borgeat A, Ruetsch YA, Jorg M Convulsions induced by ropivacaine during interscalene brachial plexus block. Anesth Analg 1998; 87:497.

Thank you for copying data from http://www.arastirmax.com