Reactions 1335 - 22 Jan 2011

Ropivacaine

Abnormal facial movements treated with soya oilemulsion: case report

A patient [age and sex not stated], who had undergone aradical prostatectomy, received a transversus abdominisplane block with 15mL of ropivacaine 0.75% on each side.Small IM injections were also made, using a total of < 5mL.Within the first minutes of regaining consciousness, thepatient developed abnormal facial movements [time fromadministration to reaction onset not clearly stated]. Aninjection of soya oil emulsion [Medialipide] 100mL wasinitiated for a probable diagnosis of incipient toxicity.Within the following 60–90 seconds, a reduction insymptoms was observed.Benhamou D, et al. Early administration of lipid rescue after initial signs of localanesthetic-induced systemic toxicity. Annales Francaises d’Anesthesie et deReanimation 29: 826, No. 11, Nov 2010. Available from: URL: http://dx.doi.org/10.1016/j.annfar.2010.08.003 [French; summarised from a translation] -France 803048256

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Reactions 22 Jan 2011 No. 13350114-9954/10/1335-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved