Post Your Cases > Local anesthesia toxicity with bupivacaine while performing axillary block

In a 20 year old boy with amputated middle finger for reconstruction with no other comorbidity we tried to give axillary block. 20 ml of 0.5 percent bupivacaine was used using ultrasound and nerve stimulator. The patient had nice blockade with both sensory and motor blockade. After 5 minutes patient developed seizures and became unconscious. We gave propofol 100 mg and midazolam 2 mg . Patient was intubated and ventilated. We used 1 ml/kg lipid emulsion and infusion was of 0.25ml/kg was used. There were no further adverse events.
September 18, 2019 | Unregistered CommenterDr Deepak