Severe Cardiorespiratory and Neurologic Symptoms in a Neonate due to Mepivacaine Intoxication
Joint Authors
de Groot-van der Mooren, Maurike
Quint, Sabine
Knobbe, Ingmar
Cronie, Doug
van Weissenbruch, Mirjam
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-25
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Local anesthesia with mepivacaine is used for vaginal deliveries and for minor surgeries of the vagina and perineum as repair of an episiotomy or perineal laceration.
Neonatal intoxication caused by local anesthesia with mepivacaine for maternal episiotomy has been rarely reported.
We present a case of a term female infant with unexplained cardiorespiratory distress and several neurologic findings, including seizures, one hour after birth.
Electrocardiogram showed a second-degree atrioventricular block and a left-bundle branch block.
Blood measures in the patient revealed a high mepivacaine level following local anesthesia for maternal episiotomy.
Because of the increasing practice of local anesthesia, high awareness for neonatal intoxication and further research in safe elimination therapy in neonates is needed.
American Psychological Association (APA)
de Groot-van der Mooren, Maurike& Quint, Sabine& Knobbe, Ingmar& Cronie, Doug& van Weissenbruch, Mirjam. 2019. Severe Cardiorespiratory and Neurologic Symptoms in a Neonate due to Mepivacaine Intoxication. Case Reports in Pediatrics،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143696
Modern Language Association (MLA)
de Groot-van der Mooren, Maurike…[et al.]. Severe Cardiorespiratory and Neurologic Symptoms in a Neonate due to Mepivacaine Intoxication. Case Reports in Pediatrics No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1143696
American Medical Association (AMA)
de Groot-van der Mooren, Maurike& Quint, Sabine& Knobbe, Ingmar& Cronie, Doug& van Weissenbruch, Mirjam. Severe Cardiorespiratory and Neurologic Symptoms in a Neonate due to Mepivacaine Intoxication. Case Reports in Pediatrics. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143696
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143696