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American Journal of Medical Case Reports. 2016, 4(4), 148-149
DOI: 10.12691/AJMCR-4-4-10
Case Report

Manuscript Title: Epidural Ropivacaine Infusion Causing Fluctuating Arrhythmia

Moustafa Elsheshtawy1, , Vasudev Virparia1, Falgun Patel1 and Ashok Khanna1

1Division of Cardiology, Department of Medicine, Coney Island Hospital, Brooklyn, NY 11235, U.S.A.

Pub. Date: May 03, 2016
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Cite this paper

Moustafa Elsheshtawy, Vasudev Virparia, Falgun Patel and Ashok Khanna. Manuscript Title: Epidural Ropivacaine Infusion Causing Fluctuating Arrhythmia. American Journal of Medical Case Reports. 2016; 4(4):148-149. doi: 10.12691/AJMCR-4-4-10

Abstract

The material has not been previously published elsewhere and is being considered solely by the American Journal of Medical Case Reports. This case report determined to be “A Healthcare Operations Activity and does not include Human Research – Institutional Review Board approval is not required” by Maimonides Institutional Review Board, an institutional ethics committee.

Keywords

Epidural infusion, Local anesthetic, Ropivacaine, sinus arrhythmia

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

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[4]  Reiz S, Nath S. Cardiotoxicity of local anesthetic agents. British Journal of Anesthesia 1986;58:736-746.
 
[5]  Kasten GW. High serum bupivacaine concentration produce rhythm disturbances similar to torsades de pointes in anesthetized dogs. Regional Anesthesia 1986;11:20-25.
 
[6]  Reiz S, Haggmark S, Johansson G, et al. Cardiotoxicity of ropivacaine – Anew amide local anesthetic agent. Acta Anaesthesiological Scandinavica 1989;33:93-98.
 
[7]  Gaiser RR. The epidural test dose in obstetric anesthesia: it is not obsolete. J Clin Anesth. 2003;15(6)474-477.