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preLekára.sk / Journals / Perspectives in Surgery / 2023 - 6

Systemic toxic effects of Mesocain® in routine surgical practice upon iatrogenic overdose requiring cardiopulmonary resuscitation – case report

Česká verzia

Authors: J. Šimek 1,3;  K. Šmejkal 1,3;  M. Jakl 2;  J. Trlica 1,3
Authors place of work: Katedra vojenské chirurgie, Fakulta vojenského zdravotnictví Hradec Králové, Univerzita obrany v Brně, Česká republika 1;  Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Hradec Králové, Česká republika 2;  Chirurgická klinika, Fakultní nemocnice Hradec Králové, Česká republika 3
Published in the journal: Rozhl. Chir., 2023, roč. 102, č. 6, s. 257-260.
Category: Case Reports
doi: https://doi.org/10.33699/PIS.2023.102.6.257–260

Summary

This case report of a patient with a traumatic head injury provides an example of a systemic toxic reaction to a local anesthetic. Clinical signs of a systemic toxic reaction and hemorrhagic shock may initially be similar: tachycardia, hypotension and unconsciousness. The purpose is thus to remind that even the treatment of a minor injury can develop into a life-threatening condition. When a skin wound is treated using suture under local or regional anesthesia, the annual incidence rate of systemic toxic reactions is 1:3,000 and that of death is 1:30,000.

Keywords:

anaphylaxis – mesocain – trimecain – toxic reaction

Zdroje
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