Abstract
We here report that a 71-year-old Japanese woman with a history of anaphylaxis induced by muscle relaxants had local anesthetic systemic toxicity (LAST) following an abdominal surgery under general anesthesia with combined spinal-epidural anesthesia without muscle relaxants. The total dosages of local anesthetics reached 0.67 mg/kg of ropivacaine and 11.5 mg/kg of lidocaine over 12.5 h to obtain sufficient muscle relaxation for surgery. Regional anesthesia is useful in cases in which muscle relaxants are to be avoided during a surgery. However, especially for a patient with risk factors and prolonged surgery, precautions should be taken to prevent LAST.
Original language | English |
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Pages (from-to) | 543-546 |
Number of pages | 4 |
Journal | Acta medica Okayama |
Volume | 73 |
Issue number | 6 |
Publication status | Published - 2019 |
Keywords
- Abdominal surgery
- Epidural anesthesia
- Local anesthetic systemic toxicity
- Muscle relaxant-induced anaphylaxis
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)