SAQ 856 – Paediatrics – femoral nerve block and local anaesthetic toxicity

An 8-year-old boy presents after falling 2 metres from a tree. He has an isolated painful, shortened, deformed thigh and X-rays show a mid-shaft femur fracture.

A femoral nerve block is performed with 20 mL of 0.75% ropivacaine. He weighs 30 kg.

Calculate the maximum safe dose of ropivacaine for this child.

(Marked out of 1.0)

/ 1

List two early symptoms and four severe features of local anaesthetic toxicity.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Early symptoms</th> <th>Severe toxicity features</th> </tr> </thead> <tbody> <tr> <td>Findings</td> <td></td> </tr> </tbody> </table> <p>

/ 6

For severe local anaesthetic toxicity, list five treatment options and briefly state the reason for each.

(Marked out of 5.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Treatment</th> <th>Reason</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> <tr> <td>4</td> <td></td> </tr> <tr> <td>5</td> <td></td> </tr> </tbody> </table> <p>

/ 5

List four department-level measures that improve the safety of nerve blocks.

(Marked out of 4.0)

/ 4

Total Score: 0 / 16

Percentage: 0%