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Case Report

Ann Med Res. 2005; 12(3): 201-203


Convulsion and Respiratory Depression After Interscalene Brachial Plexus Block with 0.5 % Ropivacaine (Case Report)

Ahmet Köroğlu*, Ender Gedik*, Müslüm Çiçek*, Ülkü Özgül*, M. Özcan Ersoy*

.




Abstract


 

In this case report, we aimed to discuss a patient presenting with convulsion and respiratory depression after

interscalene brachial plexus blockade (ISB) was performed with ropivacaine 0.5%.

A 35 years old man, 70 kg in weight and 174 cm in height was taken to operation for right radial nerve repair. ISB

was done with 40mL of ropivacaine 0.5% using peripheral nerve stimulator. Clonic convulsions at the face muscles

and respiratory depression occurred 3 min later than ISB. Convulsions and hypotension improved without any

intervention, bradycardia was not seen.

As a result, slow injection should be performed having continuous dialogue with the patient during the ISB

procedure. We hold the opinion that even if the aspiration and test dose are negative, physician should be aware to

the cardiovascular and central nervous system complications after the local anesthetic injection.

Key Words: Regional anesthesia, Brachial plexus block, Ropivacaine, Convulsion, Respiratory depression






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