Clinical Practice and Cases in Emergency Medicine

Bupivacaine and ropivacaine are local anesthetics frequently used for interscalene nerve blocks,which are generally well tolerated; however, some complications include pneumothorax, Hornersyndrome, nerve injury and cardiovascular toxicity from vascular injection. On rare occasions, it maybe associated with spinal paralysis. While the treatment is mostly supportive, we report an unusualcase of administering intravenous lipid emulsion (ILE) as part of resuscitative efforts to hastenneurological recovery from spinal shock.