Research Article
Alexandre de Araujo Altamirand
Abstract
Local anesthetic systemic toxicity (LAST) is a potentially fatal complication. Recognition of its occurrence, appropriate treatment and post-LAST care are essential to ensure a favorable outcome. This report describes the use of a lipid emulsion therapy (10% Lipovenos® emulsion), in a 41-year old woman, who inadvertently received cardioplegia following administration of 0.5% bupivacaine directly into the coronary ostium during extracorporeal circulation for aortic valvuloplasty. Although there have been no reports recommending its use for the pharmacological treatment of LAST to reversed toxicity, 10% lipid emulsion therapy may represent a viable alternative to the use of 20% lipid emulsion.