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KMID : 0385920160270020214
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Journal of the Korean Society of Emergency Medicine
2016 Volume.27 No. 2 p.214 ~ p.218
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Fatal Peripartum Cardiomyopathy after Bupivacaine Local Injection in Elective Cesarean Section: A Case Report
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Park Jin-Yong
Kang Hwa-Rim
Kim Jee-Hyun
Kim Hyung-Woo
Kim Sang-Min
Chang You-Jin
Choe Kang-Hyeon
Lee Ki-Man
An Jin-Young
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Abstract
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Bupivacaine is frequently used for pain control and local anesthesia. However, it is associated with certain acute and fatal side effects, although rare, including cardiac and central nervous system toxicities. In particular, bupivacaine-induced cardiac toxicity may be fatal. This condition can be diagnosed as bupivacaine-induced cardiotoxicity by excluding other causes and determining a history of bupivacaine administration. However, in emergency situations, recognizing bupivacaine toxicity can be difficult due to the physician’s lack of awareness regarding the condition or in the absence of clear communication regarding the patient’s medical history. In the current case report, we describe our experience with strong suspected bupivacaine-induced cardiotoxicity in a patient who underwent cesarean section along with a review of the literature.
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KEYWORD
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Bupivacaine, Cardiomyopathy, Lipid rescue
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