Respiratory arrest after a caudal injection of bupivacaine

Spinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome

“…However, we were able to find only two case reports describing the use of combined (general and caudal) anesthesia in those patients. Lumb and Carli [16] reported a case of a 3.5-year-old boy who developed respiratory arrest after caudal injection of bupivacaine, but this complication most likely resulted from inadvertent subarachnoid injection [17,18]. On the other hand, successful use of caudal block with bupivacaine for bilateral herniorrhaphy in an infant with BdLS was reported by del Rio et al [19].…”

Intraoperative Use of Bupivacaine for Tumescent Liposuction: The Robert Wood Johnson Experience

“…6,7,21 Although published case reports [21][22][23][24][25] indicate that one must always be aware of the risk of bupivacaine toxicity, considered and Volume 124, Number 4 • Bupivacaine in Tumescent Liposuction appropriate use of bupivacaine within the field of pain management has shown that the drug can provide safe, long-acting pain control. 10 -20 This dichotomy underscores how important it is to develop good evidence-based practice with regard to preparation and administration of wetting solutions for tumescent liposuction.…”

Complications in regional anaesthesia

“…Unintentional subarachnoid block presumably occurred in another child leading to respiratory arrest with fixed dilated pupils following established caudal anaesthesia (Fortuna 1989;Lumb & Carli 1989;Lee & Collins 1990). In both cases the CNS.…”