Reactions 1310 - 17 Jul 2010

Bupivacaine

Cough attacks in an elderly patient: case reportA 69-year-old woman with complex regional pain

syndrome started daily stellate ganglion block (SGB) for10 days [drugs not stated].Two hours after her the fourthblock, a 1-hour cough attack developed. The fifth and sixthscheduled blocks went ahead. An uninterrupted 10-minutecough attack occurred 10 minutes after her sixth block.SGB was reduced, and 0.25% bupivacaine 6mL wasadministered at the seventh block. Ten minutes later, thecough attack recurred, lasting for 50 minutes beforesubsiding. SGB was stopped, and she was treated withpregabalin.

Author comment: "[W]e think that cough attack is mostprobably due to recurrent laryngeal nerve anesthesia thatallows aspiration into the trachea and should be consideredas a complication of SGB."Atici S, et al. Transient cough attacks after right stellate ganglion block. RegionalAnesthesia and Pain Medicine 35: 318-319, No. 3, Jun 2010. Available from:URL: http://dx.doi.org/10.1097/aap.0b013e3181de12d2 - Turkey 803025691

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Reactions 17 Jul 2010 No. 13100114-9954/10/1310-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved