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Inadequate tourniquet inflation associated with a case of prilocaine toxicity

Published online by Cambridge University Press:  16 August 2006

H. S. Machado  and
R. S. Bastos
H. S. Machado
Affiliation:
Serviço de Anestesiologia, Hospital Geral de Santo António, Largo Professor Abel Salazar, 4050 Porto, Portugal
R. S. Bastos
Affiliation:
Serviço de Anestesiologia, Hospital Geral de Santo António, Largo Professor Abel Salazar, 4050 Porto, Portugal
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Abstract

A 74-year-old woman was scheduled for surgical treatment of a carpal tunnel syndrome. An intravenous (i.v.) regional anaesthetic was performed using 1% prilocaine standard technique. Three minutes after injection of the local anaesthetic mild to moderate central nervous system symptoms developed, along with tachycardia, sweating and peri-oral paraesthesia. The evolution was favourable, no convulsions or other more serious events occurred. Despite showing adequate pressure inflation the tourniquet failed to accomplish its purpose. The patient recovered well without any sequelae.

Keywords

prilocainetourniquetintravenous regional anaesthesialocal anaesthetic toxicity
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 15 , Issue 2 , March 1998 , pp. 234 - 236
Copyright
1998 European Society of Anaesthesiology

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