Systemic local anaesthetic toxicity from continuous thoracic paravertebral block Full Text
British Journal of Anesthesia, 05/16/2012
Fagenholz PJ et al. – The authors report here a case of systemic local anaesthetic toxicity from continuous paravertebral block administration after thoracotomy and lobectomy leading to seizure, aspiration, and ultimately, death. Potential contributing factors in this case included small patient size, concomitant antifungal therapy, extensive surgical disruption of the pleurae, and inappropriate paravertebral bolus administration.