Local anesthetic administration—a rare necrotic ulcer on the palate: A case report

2019 ◽  
pp. 271-273
Author(s):  
João S. Marques ◽  
Diogo Soares ◽  
J.M. Rocha ◽  
P. Ferrás ◽  
J.C. Reis Campos ◽  
...  
Keyword(s):  
Case Report ◽  
Local Anesthetic

scholarly journals Local Anesthetic Systemic Toxicity following Peribulbar Block: A Case Report

2020 ◽  
Vol 3 (2) ◽  
pp. 67-68
Author(s):  
Abdul Nasser ◽  
Faheem Raja
Keyword(s):  
Case Report ◽  
Cataract Surgery ◽  
Local Anesthetic ◽  
Lipid Emulsion ◽  
Early Recognition ◽  
Systemic Toxicity ◽  
Peribulbar Block ◽  
Local Anesthetic Systemic Toxicity ◽  
Symptoms And Signs

ABSTRACT Cataract surgery is performed routinely under regional orbital blocks including retrobulbar and peribulbar blocks. Several complications have been reported while performing these blocks, the most significant of which is the local anesthetic systemic toxicity (LAST). The symptoms and signs present in a varied spectrum, but every such case requires early recognition and immediate resuscitation to avoid long-term morbidity and even death. Lipid emulsion therapy forms the mainstay of treatment. We present a case of a 49-year-old man who planned to undergo cataract surgery under the peribulbar block, who developed LAST and was successfully treated with 20% lipid emulsion without any adverse sequelae. How to cite this article Nasser A, Raja F. Local Anesthetic Systemic Toxicity following Peribulbar Block: A Case Report. J Med Acad 2020;3(2):67–68.

scholarly journals Suspected Local Anesthetic Allergy of a Child: A Case Report

2017 ◽  
Vol 02 (02) ◽  
Author(s):  
Matsumura T ◽  
Miyamoto T ◽  
Fukayama H
Keyword(s):  
Case Report ◽  
Local Anesthetic

Was Case Report a Case of Unrecognized Local Anesthetic Toxicity?

2003 ◽  
pp. 1844-1845 ◽  
Author(s):  
David Schwartz ◽  
Timothy VadeBoncouer ◽  
Guy Weinberg
Keyword(s):  
Case Report ◽  
Local Anesthetic ◽  
Local Anesthetic Toxicity

scholarly journals Management of Retained Genital Piercings: A Case Report and Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Laura J. Moulton ◽  
Amelia M. Jernigan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Blood Supply ◽  
Local Anesthetic ◽  
Simple Technique ◽  
Current Evidence ◽  
Vertical Incision ◽  
Clitoral Hood ◽  
Review Current ◽  
Female Genital

The prevalence of genital piercing among women is increasing. As the popularity increases, the number of complications from infection, injury, and retained jewelry is likely to rise. Techniques to remove embedded jewelry are not well described in the literature. The purpose of this report was to describe a case of a patient with a retained clitoral glans piercing, discuss a simple technique for outpatient removal, and review current evidence regarding associated risks of clitoral piercings. A 24-year-old female presented to the emergency department with an embedded clitoral glans piercing. Local anesthetic was injected into the periclitoral skin and a small superficial vertical incision was made to remove the ball of the retained barbell safely. In conclusion, among patients with retained genital piercing, outpatient removal of embedded jewelry is feasible. While the practice of female genital piercing is not regulated, piercing of the glans of the clitoris is associated with increased injury to the nerves and blood supply of the clitoris structures leading to future fibrosis and diminished function compared to piercing of the clitoral hood.

scholarly journals Facial Gel Complication after Dental Injection: A Case Report

2013 ◽  
Vol 6 (4) ◽  
pp. 267-269 ◽  
Author(s):  
Fereydoun Pourdanesh ◽  
Shahin Shams ◽  
Hasan Mir Mohammad Sadeghi
Keyword(s):  
United States ◽  
Case Report ◽  
Local Anesthetic ◽  
Rare Complication ◽  
The United States ◽  
Polyacrylamide Gel ◽  
Filler Materials ◽  
Permanent Filler ◽  
History Of ◽  
Materials Used

Injectable gel is becoming increasingly popular for cosmetic reasons. The polyacrylamide gel (PAAG) is a permanent filler material used worldwide. In spite of the fact that the filler materials used today are considered quite safe, various complications have been reported in the literature. Hence PAAG use in the United States is not popular. As the area is very close to the dental field, a large complication potential is relatively considered following buccal dental injections. The aim of this article is to highlight a rare complication observed following a local anesthetic administration of a simple molar restoration in a healthy 33-year-old woman who had history of a filler augmentation in her cheek approximately 6 years ago.

scholarly journals Sonoanatomy and Injection Technique of the Iliolumbar Ligament

2011 ◽  
Vol 5;14 (5;9) ◽  
pp. 469-474
Author(s):  
Dominic Harmon
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Local Anesthetic ◽  
Pelvic Ring ◽  
Subjective Assessment ◽  
Injection Technique ◽  
Ultrasound Guided ◽  
Range Of Movement ◽  
Provocation Tests ◽  
Iliolumbar Ligament

Background: The iliolumbar ligament plays an important biomechanic role in anchoring the spine to the pelvic ring and stabilizing the sacroiliac joint. Iliolumbar syndrome is a back pain condition caused by pathology of the iliolumbar ligament. History and physical examination are important in the assessment of back pain, but they lack sufficient specificity. Injection of small volumes of local anesthetic into the structure considered to be the source of the pain (i.e. the iliolumbar ligament) increases the specificity of the diagnostic workup. Objective: To describe an ultrasound - guided technique for injecting the iliolumbar ligament. Study design: Case report based on knowledge of topographic anatomy and sonoanatomy. Setting: Outpatient clinic. Methods: A patient with a clinical picture suggestive of iliolumbar syndrome was selected. An ultrasound-guided injection of the iliolumbar ligament with local anesthetic was performed. We recorded the patient’s subjective assessment of pain and the change in range of movement and pain scores during provocative tests. Results: Following the injection, the patient’s pain score decreased, provocation tests became negative, and the range of movement increased. Limitations: Case report. Target specificity and dispersion of local anesthetic spread not confirmed with an independent technique (i.e. magnetic resonance imaging). Conclusions: Ultrasound guidance allows the selective deposition of small volumes of local anesthetic into structures believed to cause soft tissue back pain and thus to confirm or exclude the working diagnosis. Further studies are needed to confirm our conclusions and to prove the clinical feasibility of this technique. Key words: Technique, visualization, real-time, ultrasound, iliolumbar ligament,iliolumbar syndrome, diagnostic injection, low back pain, groin pain.

scholarly journals Combined femoral and sciatic nerve block with Levobupivacaine in Brugada syndrome patient: A case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Diego Tavoletti ◽  
Elisabetta Rosanò ◽  
Elisabetta Cerutti ◽  
Luca Pecora
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Local Anesthetic ◽  
Brugada Syndrome ◽  
Peripheral Nerve Block ◽  
Case Reports ◽  
Anesthetic Techniques ◽  
Syndrome Patient

Introduction: Brugada syndrome is a rare arrhythmic disorder associated to ventricular fibrillation and sudden cardiac death. General recommendations in Brugada syndrome patient are focused on avoiding increases in vagal tone and precipitating agents such as electrolyte disorders, hypo/hyperthermia and drugs. Anesthetic management in Brugada syndrome patient has been described in many case reports, however it is still unknown which anesthesia is the safest. Local anesthetic may have a theoretical arrhythmogenic risk, but currently there is no clear evidence and their risk is still debated. Peripheral nerve block avoids autonomic nervous system changes that occur with other anesthetic techniques and it is associated to a lower level in the plasma concentration of the local anesthetic compared with neuraxial anesthesia. Case Report: We report a case of a 38-year-old man patient with Brugada syndrome who underwent urgent orthopedic surgery which was managed with a combined femoral and sciatic nerve blocks using levobupivacaine without any complications. Conclusions: Peripheral nerve block with levobupivacaine provided good analgesia, hemodynamic and cardiac stability in Brugada syndrome patient. Keywords: Brugada syndrome, Anesthesia, Levobupivacaine, Peripheral nerve block, Regional anesthesia

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