Respiratory arrest after 0.75% bupivacaine retrobulbar block

Ophthalmic Surg. 1994 Sep-Oct;25(9):628-9.

Abstract

Respiratory arrest is an uncommon complication of retrobulbar anesthesia. We present a case in which it occurred following a 0.75% bupivacaine and 2% lidocaine retrobulbar block and analyze the possible causes. We conclude that the most important of these were the relatively high concentration and volume of the anesthetic and a faulty technique.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anesthesia, Local / adverse effects*
  • Bupivacaine / administration & dosage
  • Bupivacaine / adverse effects*
  • Eye
  • Female
  • Humans
  • Injections
  • Nerve Block
  • Respiratory Insufficiency / chemically induced
  • Respiratory Insufficiency / etiology*

Substances

  • Bupivacaine