Abstract
LONG-ACTING LOCAL anesthetics, such as bupivacaine and etidocaine, are widely used to provide regional anesthesia for operative procedures. Inadvertent intravenous administration, however, can result in cardiovascular toxicity leading to cardiac arrest. Resuscitation has generally been difficult in these cases, sometimes necessitating long periods of open- or closed-chest cardiac massage before reestablishment of spontaneous cardiac rhythm.1 The authors report the use of emergent cardiopulmonary bypass (CPB) to support a patient who experienced cardiovascular collapse after regional anesthesia with bupivacaine and provide a review of the literature on the use of CPB in drug intoxications.
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