1. The Reason and understanding of rare occurrence of seizures in hematoma block?
2. How to precaution and prevent occurrence of such seizures?
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
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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