Author/Authors :
Düger, Cevdet Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , İsbir, Ahmet Cemil Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Kol, İclal Özdemir Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Kaygusuz, Kenan Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Gürsoy, Sinan Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Mimaroğlu, Caner Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey
Abstract :
Axillary brachial plexus block is an effective method of anaesthesia for the surgeries performed on the hand, forearm and distal third of the arm. However it has the risk of serious complications such as cardiovascular and central nervous system toxicity. Levobupivacaine is a long acting amide local anaesthetic used for epidural, caudal, spinal, infiltration and peripheral nerve blocks. Levobupivacaine is the S (-) isomer of racemic bupivacaine and has a lower risk of cardiovascular, central nervous system toxicity than bupivacaine. However central system toxicity cases due to absorption of the drug into the systemic circulation has been reported. Here, we report a case having no vascular puncture during axillary brachial plexus block performance but developing convulsion due to levobupivacain after the intervention.
NaturalLanguageKeyword :
Axillary brachial plexus block , levobupivacaine , central nervous system toxicity , convulsion
