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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > December, 2008 Vol. IX, No. 12

Fat Emulsion to the Rescue

Lipid emulsion therapy can resuscitate patients who've suffered cardiac collapse after local anesthetic administration.

Linda Chitwood, CRNA, MS

After injecting the local anesthetic bupivacaine 0.25% for post-op pain relief, the surgeon reached for a suture to close the wound. But 60 seconds after the injection, the anesthesia provider alerted the team to an ominous development: profound and deadly changes evolving in the patient's cardiac rhythm. With a potentially fatal myocardial event unfolding in front of their eyes, the surgeon flung aside the suture and ripped off the drapes while others called for help. As the code cart crashed through the OR door, monitors began alarming: BP 63/30, ECG V-Tach, then a full cardiac arrest. Advanced cardiac life support (ACLS) was started, and the patient left the ASC for a nearby hospital with chest compressions in progress.

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Categories: Anesthesia, Safety
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