A rare case of accidental arterial local anesthetic injection under ultrasound-guided stellate ganglion block

After recovery of spontaneous breathing, 3 mg of midazolam was administered to control the convulsions, followed by intravenous fat emulsion (20%, 100 mL). Complications of SGB include seizures and blindness, and result from unintentional injection of local anesthetic into the subarachnoid or epidur...

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Bibliographic Details
Published inJournal of clinical anesthesia Vol. 29; pp. 3 - 4
Main Authors Fujiwara, Shunsuke, MD, Komasawa, Nobuyasu, MD, PhD, Kido, Haruki, MD, Minami, Toshiaki, MD, PhD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2016
Elsevier Limited
Subjects
Adult
Anesthesia & Perioperative Care
Anesthetics, Local - administration & dosage
Arterial local anesthetic injection
Arteries - injuries
Autonomic Nerve Block - adverse effects
Bells palsy
Facial Nerve Diseases - therapy
Female
Humans
Medical Errors
Pain Medicine
Stellate Ganglion - diagnostic imaging
Stellate ganglion block
Ultrasonic imaging
Ultrasonography, Interventional
Ultrasound-guided
Arterial local anesthetic injection
Ultrasound-guided
Stellate ganglion block
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Summary:After recovery of spontaneous breathing, 3 mg of midazolam was administered to control the convulsions, followed by intravenous fat emulsion (20%, 100 mL). Complications of SGB include seizures and blindness, and result from unintentional injection of local anesthetic into the subarachnoid or epidural space, intraarterial injection, or recurrent laryngeal nerve block [1,2].
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2015.10.010