Management of a Comatose Patient following Intravenous Regional Anesthesia with Lidocaine Hydrochloride .
10.4097/kjae.1978.11.4.381
- Author:
Sang Young LEE
1
;
In Ho KIM
;
Kyu Sub JEONG
Author Information
1. Department of Anesthesiology, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Case Report
- MeSH:
Anesthesia, Conduction*;
Busan;
Coma*;
Debridement;
Fingers;
Fractures, Open;
Heart Arrest;
Humans;
Lidocaine*;
Seizures;
Tourniquets
- From:Korean Journal of Anesthesiology
1978;11(4):381-384
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors have experience with a convulsive and comatoae patient who had intravenous regional anesthesia with 15ml of 2% lidocaine hydrochloride (total 300 mg). These complications were developed after sudden deflation of a pneumatic tourniquet, at the completion of debridement and pin fixation for traumatic open fracture on the right middle and ring fingers in a local clinic. This patient was treated at the I.C.U. of Busan National University Hospital without any other sequela. The authors re-emphasize the dangerous risks such as convulsions or even cardiac arrest when using a high concentration of lidocaine hydrochloride in intravenous regional anesthesia, as performed frequently.
