[box type=”bio”] What to Learn from this Article?[/box]
1. The Reason and understanding of rare occurrence of seizures in hematoma block?
2. How to precaution and prevent occurrence of such seizures?
Case Report
Volume 2 | Issue 4 | JOCR Oct-Dec 2012 | Page 10-13 | Dezfuli B, Edwards CJ, DeSilva GL
Distal Radius Fracture Hematoma Block with Combined Lidocaine and Bupivacaine can induce Seizures while within Therapeutic Window: A Case Report
Authors: Bobby Dezfuli [1], Chirstopher J Edwards [2], Gregory L DeSilva [1]
[1] Department of Orthopaedic Surgery, University of Arizona Medical Center. Tucson, Arizona.
[2] Department of Pharmacy, University of Arizona Medical Center. Tucson, Arizona.
Address of Correspondence: Dr. Bobby Dezfuli, MD. Department of Orthopaedic Surgery, University of Arizona Medical Center, 1609 N. Warren Avenue, Suite 110 PO Box 245064. Tucson, AZ 85724-5064 520.626.9245 (phone): 520.626.2668 (fax) Email: dezfuli@email.arizona.edu
Abstract
Introduction: Hematoma blocks are effective pain management modalities for closed reduction of distal radius fractures. Complications of hematoma blocks are associated with systemic reaction to anesthetic used.
Case Report: We present a case report of an elderly patient who received a hematoma block of lidocaine and bupivacaine for a distal radius fracture and subsequently developed a generalized tonic clonic seizure. The dose of both lidocaine and bupivacaine were well within the suggested dose limit.
Conclusion: We conclude that hematoma blocks with a combination of anesthetics may decrease the threshold to neurologic complications, especially in elderly patients. Precautions and ready teratment measures should be made available while performing closed reduction
Keywords: Hematoma block, seizure, distal radius fracture, lidocaine, bupivacaine.
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| How to Cite This Article: Dezfuli B, Edwards CJ, DeSilva GL. Distal Radius Fracture Hematoma Block with Combined Lidocaine and Bupivacaine can Induce Seizures while within Therapeutic Window: a Case Report. Journal of Orthopaedic Case Reports 2012 Oct-Dec;2(4):10-13.Available from: https://www.jocr.co.in/wp/wp-content/uploads/2013/01/jocr-oct-dec-2012-5-Distal-Radius-Fracture-Hematoma-Block-with-Combined-Lidocaine-and-Bupivacaine-can-induce.pdf |
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