BUPIVACAINE-INDUCED SEIZURES AND VENTRICULAR-FIBRILLATION IN A 13-YEAR-OLD GIRL UNDERGOING WOUND DEBRIDEMENT

Bupivacaine is a commonly used local anesthetic in dental, ophthalmolo gic, and simple surgical procedures. Its current popularity derives fr om its potency and relatively long half-life. Widespread use of bupiva caine has resulted in sometimes severe adverse reactions when signific ant systemic absorption has occurred. This report documents a life-thr eatening event following use of bupivacaine, briefly reviews its neuro toxic and cardiotoxic effects, and raises questions about current mana gement strategies when toxicity occurs.