Reactions 1510, p14 - 19 Jul 2014

O SBupivacaine overdose

Ventricular tachycardia: case reportAn 11-month-old baby boy developed ventricular

tachycardia following bupivacaine overdose. He received anexcessive dose of bupivacaine with 8mL of 0.5% bupivacaineinjection 1 mL/kg [route not stated] as penile block, during anelective circumcision. He developed ventricular tachycardia,shortly afterwards. This event was considered as localanaesthetic toxicity. He was treated with ventilation with100% O2, followed by soya oil emulsion [intralipid]. He madean uneventful recovery.

Author comment: "The event detailed in this article clearlyoccurred because an overdose of bupivacaine wasadministered to this patient."Buck D, et al. Case discussion and root cause analysis: Bupivacaine overdose in aninfant leading to ventricular tachycardia. Anesthesia and Analgesia 119: 137-140,No. 1, Jul 2014. Available from: URL: http://doi.org/10.1213/ANE.0000000000000275 - USA 803106016

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Reactions 19 Jul 2014 No. 15100114-9954/14/1510-0001/$14.95 Adis © 2014 Springer International Publishing AG. All rights reserved