Abstract
Lipid emulsion has been reported to be effective for the treatment of local anaesthetic overdoses in rats, dogs and man. To describe the successful treatment of cardiovascular lidocaine toxicity in a foal with intravenous lipid administration. Observational study: case report. An 8-month-old Arabian cross foal was anaesthetised for removal of the right alar fold and nasal plate. Anaesthesia was maintained with isoflurane in oxygen and lidocaine administered with a loading dose followed by a continuous rate infusion (CRI). The anaesthetic period was uneventful and 30 min before expected termination of the procedure lidocaine infusion was stopped. A sudden drop in mean arterial blood pressure was then observed. The ECG signal was lost, the end tidal CO2 tension dropped from 40 to 10 mmHg, corneal reflex was absent and asystole diagnosed. Cardiopulmonary resuscitation manoeuvres were immediately initiated, but epinephrine and atropine were unsuccessfully administered. Lipid emulsion was administered and the heart rate and arterial blood pressure gradually returned to normal. The foal recovered consciousness 3 h later, regained its sternal position, was responsive and 20 h later was able to stand up alone. It will be necessary to e...Continue Reading
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Sep 12, 2020·JFMS Open Reports·Ilaria BergaminiMassimo Giunti
May 7, 2021·Journal of Veterinary Emergency and Critical Care·Claire E DixonMary Anna Labato
Oct 6, 2021·Journal of the American Veterinary Medical Association·Juan C Guerra, Erica C McKenzie