[Complications of lignocaine]

Area of Science:

• Cardiology
• Neurology
• Pharmacology

Background:

• Cardiac surgery necessitates careful patient management.
• Lignocaine is commonly used for cardiac arrhythmias.

Observation:

• Three patients experienced sudden loss of consciousness post-cardiac surgery.
• These episodes were preceded by an epileptic-like crisis.

Findings:

• A direct correlation was observed between lignocaine perfusion and the adverse neurological events.
• The study details the specific clinical presentations and circumstances.

Implications:

• This highlights the potential neurotoxicity of lignocaine when administered via perfusion in cardiac surgery patients.
• Clinical vigilance and alternative anesthetic strategies may be warranted.
• Further research into lignocaine's neurological side effects is recommended.