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It provides a bloodless surgical field and adequate analgesia when performed correctly. A diluted short\u2010acting local anesthetic such as 0.5% lidocaine is typically used. Our case is a 41\u2010year\u2010old female who presented for endoscopic carpal tunnel release of her right wrist. An accidental injection of 30\u2009mL of 0.5% ropivacaine was given instead of the normal 30\u2009mL of 0.5% lidocaine, with a total tourniquet time of 46\u2009min. Although the maximum safe dose of local anesthetic was not exceeded, lipid emulsion was administered out of an abundance of caution. No neurological or cardiovascular symptoms were reported, and the patient was discharged later that day.<\/jats:p>","DOI":"10.1155\/cria\/6254387","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T15:43:58Z","timestamp":1766418238000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prophylactic Use of Lipid Emulsion Therapy After Inadvertent Administration of 0.5% Ropivacaine for a Bier Block: A Case Report"],"prefix":"10.1155","volume":"2025","author":[{"given":"Alexander","family":"Luong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirimas","family":"Lau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Johnson-Gray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3374-1096","authenticated-orcid":false,"given":"Rayyan","family":"Bhutta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin","family":"Shaffer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell","family":"Hughes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Gable","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Franzen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_9_1_2","first-page":"3","volume-title":"Neural Blockade in Clinical Anesthesia and Management of Pain","author":"Brown B. 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