Third-Degree Heart Block Associated with Bupivacaine Infusion Following Total Knee Arthroplasty: A Case Report

Hay, David C.; Mayle Jr., Robert E.; Goodman, Stuart B.
September 2009
Journal of Bone & Joint Surgery, American Volume;Sep2009, Vol. 91-A Issue 9, p2238
Academic Journal
Case Study
The article presents a case study of a 78-year-old woman who had a five-year history of progressive, debilitating, left knee pain. A total knee arthroplasty was performed and the patient was given a bupivacaine infusion. Following the infusion, the patient was diagnosed with a heart block and bupivacaine was ceased. The article discusses bupivacaine toxicity.


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