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British Journal of Anaesthesia, 2001, Vol. 87, No. 5 784-787
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia


Case Reports

Grand mal convulsion and plasma concentrations after intravascular injection of ropivacaine for axillary brachial plexus blockade

M. Müller, R. J. Litz, M. Hübler and D. M. Albrecht

Department of Anaesthesiology and Intensive Care Medicine, Carl Gustav Carus University Hospital, Dresden, Germany*Corresponding author: Department of Anaesthesiology and Intensive Care Medicine, Carl Gustav Carus University Hospital, Fetscherstrasse 74, D-01307 Dresden, Germany

We report a patient to whom ropivacaine 1.1 mg kg1 was administered for brachial plexus blockade and who developed grand mal convulsions because of inadvertent i.v. injection. No symptoms of cardiovascular toxicity occurred. Venous blood samples were taken 15, 45, 75 and 155 min after the injection. The measured total plasma concentrations of ropivacaine were 3.3, 1.6, 1.2 and 1.0 mg litre1 respectively. Initial plasma concentration after the end of the injection period was estimated at 5.75 mg litre1 using a two-compartment pharmacokinetic model.

Br J Anaesth 2001; 87: 784–7


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