A case of cardiac arrest following bupivacaine injection for shoulder arthroscopy : A case report.
- Author:
Won Ki YOON
1
;
Jung Sam LEE
;
Hyun Su JANG
;
Young Hoon JO
;
Woo Ri RYU
Author Information
1. Department of Anesthesiology and Pain Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. nonpain@paran.com
- Publication Type:Case Report
- Keywords:
bupivacaine;
cardiac arrest;
shoulder joint arthroscopy
- MeSH:
Analgesia;
Anesthetics, Local;
Arthroscopy;
Bupivacaine;
Heart Arrest;
Humans;
Male;
Middle Aged;
Shoulder;
Shoulder Joint;
Ventricular Fibrillation
- From:Anesthesia and Pain Medicine
2009;4(1):15-18
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intra-articular administration of local anesthetics such as bupivacaine can produce short-term postoperative analgesia in patients who are undergoing shoulder arthroscopy. Yet bupivacaine can result in cardiovascular toxicity that can lead to cardiac arrest. We experienced a case of 63-year-old male patient with severe cardiac toxicity that led to ventricular fibrillation 15 minutes after injecting 0.5% bupivacaine into the patient's shoulder joint for shoulder arthroscopy.