@entity1 data about resuscitation after @entity1167 from @entity1342 are limited. We present a case of successful cardiopulmonary resuscitation after accidental @entity1342 -induced @entity2224 . A 76-yr-old female @entity1 presented for foot osteotomy. A femoral block was performed using a nerve stimulator, a short bevel needle and 20 mL of 1.5% @entity10541 with 1:400,000 epinephrine. The @entity1 remained relaxed and conversant. Five minutes later, an anterior sciatic block was done with 0.5% @entity1342 with 1:400,000 epinephrine for prolonged @entity1337 . Despite a negative @entity1173 and incremental injection, the @entity1 developed a @entity410 , then gradual widening of the QRS complex, and subsequently @entity2224 . The @entity1 was resuscitated with chest compressions and airway support prior to pharmacologic treatment of defibrillation. Total venous @entity1342 concentration 5 min after the last injection was 3.2 mg/L, free @entity1342 was 0.5 mg/L, and total @entity10541 was 0.22 mg/L. The @entity1 was admitted to the hospital and discharged the next morning without complications. This case demonstrates that techniques used to detect intravascular injection may reduce but not eliminate catastrophic events. Consequently, regional anesthesia using large amounts of local anesthetic should be done in locations with resuscitation equipment and by individuals trained to recognize these complications and begin early treatment.

Successful resuscitation after XXXX -induced @entity2224 .

@entity1 :: ('9606', 'Species') :: ['patient', 'Human'] @entity410 :: ('MESH:D012640', 'Disease') :: ['tonic-clonic seizure'] @entity10541 :: ('MESH:D008619', 'Chemical') :: ['mepivacaine'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity1342 :: ('MESH:C037663', 'Chemical') :: ['ropivacaine'] @entity2224 :: ('MESH:D014693', 'Disease') :: ['ventricular fibrillation'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity1173 :: ('MESH:D053120', 'Disease') :: ['aspiration']
@entity1342 :: (MESH:C037663,Chemical) :: ['ropivacaine']
