TRUE RESISTANCE TO LOCAL ANESTHETICS, A CASE REPORT

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NOUYAN ASHRAF M.A.; MIRGHASEMI A.A.; PEYRAVI SERESHKEH H.

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Journal: Tehran University Medical Journal Year:2007 | Volume:64 | Issue:10 Page(s): 98-101

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Title

TRUE RESISTANCE TO LOCAL ANESTHETICS, A CASE REPORT

Author(s)

NOUYAN ASHRAF M.A. | MIRGHASEMI A.A. | PEYRAVI SERESHKEH H. | Issue Writer Certificate

Keywords

RESISTANCEQ4

LOCAL ANESTHETICSQ3

LIDOCAINEQ2

BUPIVACAINEQ2

Abstract

Background: We report a case with apparent RESISTANCE to LOCAL ANESTHETICS. While regional anesthetics failure is often attributed to technical failure, the clinical presentation and medical history of this patient suggests a true RESISTANCE to LOCAL ANESTHETICS.Case report: A 28 years old man was scheduled for elective orthopedic surgery for right sided tibial bone fracture, and decision of spinal anesthesia was made. There was a questionable history of multiple prior episodes of local anesthetic unresponsiveness (Interscalan block, local infiltration for lipoma resection and dental surgery). Spinal anesthesia was performed and sensory or motor blockade was not obtained despite any evidence of technical problems. The surgical procedure performed under general anesthesia and skin analgesia (local infiltration of LIDOCAINE 2% and BUPIVACAINE 0.5% to forearm), did not achieve, the day after surgery.Conclusion: While the failure rate of spinal anesthesia has been shown range from 4 to 13% and is often attributed to technical failure, this particular case showed a true RESISTANCE to LOCAL ANESTHETICS.

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APA: Copy

NOUYAN ASHRAF, M.A., MIRGHASEMI, A.A., & PEYRAVI SERESHKEH, H.. (2007). TRUE RESISTANCE TO LOCAL ANESTHETICS, A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 64(10), 98-101. SID. https://sid.ir/paper/408342/en

Vancouver: Copy

NOUYAN ASHRAF M.A., MIRGHASEMI A.A., PEYRAVI SERESHKEH H.. TRUE RESISTANCE TO LOCAL ANESTHETICS, A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2007;64(10):98-101. Available from: https://sid.ir/paper/408342/en

IEEE: Copy

M.A. NOUYAN ASHRAF, A.A. MIRGHASEMI, and H. PEYRAVI SERESHKEH, “TRUE RESISTANCE TO LOCAL ANESTHETICS, A CASE REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 64, no. 10, pp. 98–101, 2007, [Online]. Available: https://sid.ir/paper/408342/en

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