A case of cardiac arrest following bupivacaine injection for shoulder arthroscopy : A case report

Yoon, Won Ki; Lee, Jung Sam; Jang, Hyun Su; Jo, Young Hoon; Ryu, Woo Ri

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Case Report

Anesthetic Pharmacology

Anesthesia and Pain Medicine 2009;4(1):15-18.
Published online January 30, 2009.

A case of cardiac arrest following bupivacaine injection for shoulder arthroscopy : A case report

Won Ki Yoon, Jung Sam Lee, Hyun Su Jang, Young Hoon Jo, Woo Ri Ryu

Department of Anesthesiology and Pain Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. nonpain@paran.com

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.

Key Words: bupivacaine, cardiac arrest, shoulder joint arthroscopy

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