Document Type
Article
Publication Title
Case reports in anesthesiology
Abstract
The Bier block for intravenous regional anesthesia is generally well tolerated, and few complications have been reported. It provides a bloodless surgical field and adequate analgesia when performed correctly. A diluted short-acting local anesthetic such as 0.5% lidocaine is typically used. Our case is a 41-year-old female who presented for endoscopic carpal tunnel release of her right wrist. An accidental injection of 30 mL of 0.5% ropivacaine was given instead of the normal 30 mL of 0.5% lidocaine, with a total tourniquet time of 46 min. Although the maximum safe dose of local anesthetic was not exceeded, lipid emulsion was administered out of an abundance of caution. No neurological or cardiovascular symptoms were reported, and the patient was discharged later that day.
First Page
6254387
Last Page
6254387
DOI
10.1155/cria/6254387
Publication Date
1-1-2025
Recommended Citation
Luong A, Lau S, Johnson-Gray E, Bhutta R, Shaffer A, Hughes M, Gable A, Franzen M. Prophylactic Use of Lipid Emulsion Therapy After Inadvertent Administration of 0.5% Ropivacaine for a Bier Block: A Case Report. Case Rep Anesthesiol. 2025 Dec 22;2025:6254387. doi: 10.1155/cria/6254387. PMID: 41438245; PMCID: PMC12721107.