Prolonged nerve blockade in a patient treated with lithium

We report a case of a patient, chronically treated with oral lithium, who presented with an extremely prolonged (42-hour) duration of sensory and motor paralysis following an uneventful infraclavicular block for hand surgery that was performed under ultrasound guidance using bupivacaine and lidocain...

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Bibliographic Details
Published in:Local and regional anesthesia 2012-01, Vol.5 (default), p.15-16
Main Authors: Lehavi, Amit, Shenderey, Boris, Katz, Yeshayahu Shai
Format: Article
Language:English
Subjects:
Analgesics
Case Report
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Summary:We report a case of a patient, chronically treated with oral lithium, who presented with an extremely prolonged (42-hour) duration of sensory and motor paralysis following an uneventful infraclavicular block for hand surgery that was performed under ultrasound guidance using bupivacaine and lidocaine. Due to its direct effect on nerve conduction of action potential, we propose that lithium may have had a role in the unusually prolonged duration of a peripheral nerve block.
ISSN:1178-7112
1178-7112
DOI:10.2147/LRA.S29593