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Prolonged nerve blockade in a patient treated with lithium

Authors Lehavi A, Sehnderey, Katz

Received 30 December 2011

Accepted for publication 17 January 2012

Published 2 April 2012 Volume 2012:5 Pages 15—16


Review by Single anonymous peer review

Peer reviewer comments 3

Amit Lehavi, Boris Shenderey, Yeshayahu (Shai) Katz

Department of Anesthesiology, Rambam Health Care Campus, Haifa, Israel

Abstract: 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.

Keywords: nerve blockade, lithium, duration, anesthesia

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