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Lidocaine toxicity

D L Brown, J J Skiendzielewski

    Annals of Emergency Medicine
    |December 1, 1980
    PubMed
    Summary

    A massive lidocaine overdose caused cardiac arrest in a patient, who then recovered fully with supportive care. This case highlights potential complications and treatment strategies for excessive lidocaine administration.

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    Area of Science:

    • Cardiology
    • Pharmacology
    • Toxicology

    Background:

    • Lidocaine is a primary treatment for ventricular arrhythmias.
    • It's used prophylactically against ventricular fibrillation in acute myocardial infarction.

    Observation:

    • A 68-year-old male received a 2 gm intravenous push of lidocaine in error.
    • This resulted in a cardiac arrest.

    Findings:

    • The patient experienced a complete recovery with supportive medical management.
    • The case underscores the risks associated with excessive lidocaine dosing.

    Implications:

    • Understanding lidocaine toxicity is crucial for emergency medicine.
    • Effective supportive care can lead to positive outcomes in massive overdose cases.
    • This case informs treatment protocols for lidocaine overdose.