Author/Authors :
Adimolmasali, Maryam Department of Emergency Medicine - Faculty of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Teimouri, Ali Student Research Committee - Mashhad University of Medical Sciences, Mashhad, Iran , Mokhtari, Hamid Reza Department of Emergency Medicine - Faculty of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Foroughian, Mahdi Department of Emergency Medicine - Faculty of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Zohoorian Sadr, Parvin Department of Emergency Medicine - Faculty of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Kamaloddini, Mohammad Hossien Clinical Toxicology Department - Imam Reza Hospital, Mashhad, Iran
Abstract :
Objective: Systemic toxemia with topical anesthetics could be fatal due to the use of anesthetics in various ways (oral, intravenous, intramuscular, or subcutaneous). Nowadays, topical anesthetics are used in inpatient and outpatient treatments. Despite its widespread usage, many physicians are not fully aware of the deadly side effects of lidocaine poisoning and its treatment. The objective of this case report is to highlight the diagnosis and treatment of lidocaine toxicity.
Case Presentation: A 21-year-old woman with a history of multiple suicide attempts ingested approximately three 10% w/w lidocaine sprays. The patient was brought to the emergency department of Imam Reza hospital of Mashhad University of Medical Science with cardiac arrest and respiratory failure. After successful cardiopulmonary resuscitation (CPR), she was admitted to the intensive care unit (ICU). She stayed in ICU for 2 days and we administered dobutamine drip and intravenous lipid emulsion for her then she was transferred to the general ward. We discharged her after 8 days.
Conclusion: Using BCLS and ACLS in case of cardiac arrest and administration of Lipid Emulsion with proper dosage are recommended treatments for lidocaine toxicity.
