Convulsion due to levobupivacaine in axillary brachial plexus block: Case report
Abstract
Abstract
Axillary brachial plexus block is an effective method of anaesthesia for the surgeries performed on the hand, forearm and distal third of the arm. However it has the risk of serious complications such as cardiovascular and central nervous system toxicity. Levobupivacaine is a long acting amide local anaesthetic used for epidural, caudal, spinal, infiltration and peripheral nerve blocks. Levobupivacaine is the S (-) isomer of racemic bupivacaine and has a lower risk of cardiovascular, central nervous system toxicity than bupivacaine. However central system toxicity cases due to absorption of the drug into the systemic circulation has been reported. Here, we report a case having no vascular puncture during axillary brachial plexus block performance but developing convulsion due to levobupivacain after the intervention.
Keywords: Axillary brachial plexus block, levobupivacaine, central nervous system toxicity, convulsion
Özet
Brakiyal pleksusun aksiler yaklaşım ile bloğu el, ön kol ve kolun 1/3 distalinde yapılacak cerrahide etkin bir anestezi yöntemidir. Bununla birlikte kardiyovasküler ve santral sinir sistemi toksisitesi gibi ciddi komplikasyon riskleride bulunmaktadır. Levobupivakain amid yapılı epidural, kaudal, spinal, infiltrasyon ve periferik sinir bloklarında kullanılan uzun etkili bir lokal anesteziktir. Levobupivakain rasemik bupivakainin S (-) izomeridir ve kardiyotoksisite ve santral sinir sistemi toksisitesi riskinin bupivakaine göre azalmış olmasına karşın levobupivakain sonrası ilacın sistemik dolaşıma karışması ile santral sinir sistemi toksisitesi vakaları bildirilmektedir. Burada aksiller brakiyal pleksus blokajı yapılan bir olguda işlem anında herhangi bir damar ponksiyonu olmamasına rağmen kullanılan levobupivakaine bağlı işlem sonrasında gelişen konvülziyon olgusunu sunmaktayız.
Anahtar sözcükler: Aksiller brakiyal pleksus blokajı, levobupivakain, santral sinir sistemi toksisitesi, konvülziyonKeywords
References
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Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
June 27, 2013
Submission Date
October 29, 2012
Acceptance Date
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Published in Issue
Year 1970 Volume: 35 Number: 2