KMID : 0356919770100030147
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Korean Journal of Anesthesiology 1977 Volume.10 No. 3 p.147 ~ p.149
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Hyperergy following Retrobulbar Block with Lidocaine
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Abstract
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This report shows a fatal hyperergy occurring during retrobulbar block using lidocaine on a 42 years old male patient.
When we injected 60§· of lidocaine into the retrobulbar space, following signs were noticed in one minute: hypertension, convulsion, dyspnea and loss of consciousness.
In addition to the above symptoms, cardiac arrest developed in 2¡3 minutes and did not respond to any resuscitative effort.
It is considered that 60§· of lidocaine for retrobulbar block can induce hyperergy and cardiac arrest.
The clinical picture and treatment of such reaction is discussed with particular attention to the importance of close observation of all anesthetic patients whether under general or local anesthesia.
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