Lidocaine-induced central nervous system toxicity during implantable cardioverter defibrillator placement - A case report and literature review.


Journal

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology
ISSN: 2174-2030
Titre abrégé: Rev Port Cardiol
Pays: Portugal
ID NLM: 8710716

Informations de publication

Date de publication:
05 2023
Historique:
received: 02 12 2018
revised: 02 07 2020
accepted: 13 07 2020
medline: 2 5 2023
pubmed: 24 3 2023
entrez: 23 3 2023
Statut: ppublish

Résumé

Lidocaine, a local anesthetic, is commonly used in various medical procedures. Despite its widespread use, most physicians are not familiar with the life threatening presentation of lidocaine toxicity and its treatment. Our case demonstrates successful management of local lidocaine-induced systemic toxicity in a 53-year-old female during insertion of an implantable cardioverter defibrillator. Our goal was to raise awareness of the risks and symptoms of local anesthetic toxicity, educate regarding the site of administration and dose of anesthetic delivery as independent risk factors for systemic toxicity and highlight the use of intravenous lipid emulsion as an antidote.

Identifiants

pubmed: 36958570
pii: S0870-2551(23)00169-5
doi: 10.1016/j.repc.2020.07.025
pii:
doi:

Substances chimiques

Lidocaine 98PI200987
Anesthetics, Local 0

Types de publication

Review Case Reports

Langues

eng por

Sous-ensembles de citation

IM

Pagination

483.e1-483.e4

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2023 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

Marisa Nunes Silva (M)

Department of Anesthesiology, Centro Hospitalar Universitário de Lisboa Central, Hospital de Santa Marta, Lisboa, Portugal. Electronic address: marisarns@hotmail.com.

Ana Ferro (A)

Department of Anesthesiology, Centro Hospitalar Universitário de Lisboa Central, Hospital de Santa Marta, Lisboa, Portugal.

Isabel Fragata (I)

Department of Anesthesiology, Centro Hospitalar Universitário de Lisboa Central, Hospital de Santa Marta, Lisboa, Portugal.

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Classifications MeSH