Administration of 20% Intralipid alongside standard resuscitation can successfully treat bupivacaine-induced cardiotoxicity in neonates.
We report a case of bupivacaine-induced cardiotoxicity in a neonate following caudal epidural block under general anesthesia for urologic surgery. Prompt recognition of the complication allowed early intervention with both standard resuscitative measures and administration of 20% Intralipid(®) , resulting in a good outcome.
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Lin et al. (2010) studied this question.
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