A Case of Status Epilepticus Following High Dose of Intradermal Lidocaine Injection.
- Author:
Se Kwang OH
1
;
Yong Chul CHO
;
Do Hyun KOO
;
Seung RYU
;
Jin Woong LEE
;
Seung Whan KIM
;
In Sool YOO
Author Information
1. Department of Emergency Medicine, College of Medicine, Chungnam National University, Korea. emfire@cnuh.co.kr
- Publication Type:Case Report
- Keywords:
Lidocaine;
Seizures;
Poisoning
- MeSH:
Blood-Brain Barrier;
Emergencies;
Epinephrine;
Humans;
Lidocaine;
Seizures;
Status Epilepticus
- From:Journal of the Korean Society of Emergency Medicine
2008;19(5):595-597
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lidocaine is widely used as local anesthetic agent in the emergency department. Lidocaine crosses the blood brain barrier rapidly, and has been recognized generally as a proconvulsant drug. Acute lidocaine intoxication has a variety of causes, most of which related to excessive or inappropriate therapeutic dose. It has been recommended the total amount of lidocaine should not exceed 5 mg/kg without epinephrine and 7 mg/kg with epinephrine. We present a case of a patient who developed generalized convulsive status epilepticus following administration of lidocaine for epidermograft.
