Chloroprocaine: local anesthetic systemic toxicity in a 9‐month infant with paravertebral catheter

• DOI: 10.1111/pan.12912
• Publication Date: 2016-04-19T12:28:35Z
• Authors: Maria A. Hernandez; Karen Boretsky
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

SummaryRegional anesthesia use in pediatric patients has a good safety profile. 2‐Chloroprocaine is used frequently in infants due to rapid onset, lack of accumulation, and rapid plasma degradation. We present a case of local anesthetic systemic toxicity following the administration of 3% 2‐chloroprocaine through a paravertebral catheter in an infant. The episode lasted 40 s followed by complete recovery. The infrequent reporting of local anesthetic systemic toxicity and limited duration of symptoms supports the continued use of 2‐chloroprocaine in infants. Volume should be restricted to the smallest amount providing analgesia.