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Revista de la Facultad de Medicina

Print version ISSN 0120-0011

Abstract

SANCHEZ-SOLANILLA, Luis Fernando; QUITIAN-MORENO, Jerson  and  MORA-PABON, Guillermo. Ventricular fibrillation associated with use of local nasal anesthesia. Case report. rev.fac.med. [online]. 2018, vol.66, n.3, pp.495-498. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v66n3.61826.

Introduction:

Ventricular arrhythmias associated with local anesthetics are very rare.

Case presentation:

49-year-old male patient admitted for transsphenoidal surgery to remove pituitary tumor. The infiltration of nasal lidocaine led to ventricular fibrillation that was successfully defibrillated. Cardiovascular studies did not show any underlying heart disease.

Conclusions:

Ventricular fibrillation as a side effect of local anesthetics makes necessary assessing risk factors and the capacity to provide appropriate management in cases where the use of such drug is considered. More research is needed to establish risk factors that can predict this complication.

Keywords : Ventricular Fibrillation; Anesthesia; Arrhythmias, Cardiac; Epinephrine (MeSH).

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