Tachycardia and convulsions induced by accidental intravascular ropivacaine injection during sciatic block

Authors: Petitjeans, F.¹; Mion, G.¹; Puidupin, M.¹; Tourtier, J. P.¹; Hutson, C.¹; Saissy, J. M.¹

Source: Acta Anaesthesiologica Scandinavica, Volume 46, Number 5, May 2002 , pp. 616-617(2)

Publisher: Blackwell Publishing

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Abstract:

Ropivacaine, a recently introduced local anesthetic of the amide family ( 1), seems to show less toxicity than bupivacaine (2-4). Nevertheless, both neurologic and cardiovascular toxicities are possible. Six cases of ropivacaine-induced convulsions have previously been reported (5-10), of which three cases also showed cardiovascular toxicity. In three cases, total plasma concentrations were measured ( Table 1).

Keywords: ropivacaine; sciatic block; adverse effects; convulsions; tachycardia

Document Type: Research article

DOI: 10.1034/j.1399-6576.2002.460524.x

Affiliations: 1: Department of Anesthesia and Intensive Care, Begin Military Hospital, Saint Mande, France

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