Neurological Complications Following a Retrobulbar Block. Is There a Role for Intravenous Lipid Emulsion (ILE)? A Case Report and Literature Review

Cappellini I, Pellegrini G, Falsini and Adembri

Department of Health Sciences, University of Florence, Italy

^*Correspondance to: Iacopo Cappellini 

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Abstract:

Regional anaesthesia in eye surgery can lead to life-threatening complications such retrobulbar haemorrhage, local anaesthetic systemic toxicity (LAST), due to intra-arterial injection, and brain stem anaesthesia (BSA). Intravenous lipid emulsion (ILE) has been shown to reverse cardiac arrest induced by LAST but there are also reports that suggest its role in reversing neurological complications due to local anaesthetic (LA). Here it is presented a case of a woman undergone to retrobulbar block for a vitrectomy who developed neurological complications, maybe related to BSA, in whom ILE was also administered, with a successful recover of pre-block neurological status.

Keywords:

Intravenous lipid emulsion; Retrobulbar block; Brain stem anaesthesia; Local anaesthetic systemic toxicity

Cite the Article:

Cappellini I, Pellegrini G, Falsini, Adembri. Neurological Complications Following a Retrobulbar Block. Is There a Role for Intravenous Lipid Emulsion (ILE)? A Case Report and Literature Review. Ann Clin Case Rep. 2016; 1: 1081.