In brief| Volume 35, ISSUE 1, P146, January 2010

Journal CME Questions

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        Linked Article

        • Lipid Infusion Rescue for Bupivacaine-Induced Cardiac Arrest After Axillary Block
          Journal of Hand SurgeryVol. 35Issue 1
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            Bupivacaine, a long-acting local anesthetic agent, is widely used for pain control in ambulatory surgery patients. Surgeons and anesthesiologists employ bupivacaine for cutaneous infiltration, intra-articular injection, peripheral nerve blocks, epidural anesthesia, and spinal anesthesia. Unlike lidocaine, bupivacaine is highly lipophilic. Accidental bupivacaine intravascular injection or excessive systemic absorption can lead to cardiac depression, severe arrhythmias, hypotension, and/or cardiac arrest.
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