Abstract
Lidocaine can be seen systemic intoxication, central nervous system (CNS) and cardiovascular toxicities, due to its common usage and broad safety margin. Lidocaine overdose has been reported with convulsion, cardiac collapse and coma. In present case, a patient underwent surgical excision of wrist mass who erroneously received 1200 mg 10% lidocaine instead of 225 mg 2% dose. Interestingly, the case shows only some mild CNS side effects without any serious adverse effect.
Highlights
Lidocaine can be seen systemic intoxication, central nervous system (CNS) and cardiovascular toxicities, due to its common usage and broad safety margin
Lidocaine overdose has been reported with convulsion
Bizim olgumuzda da her zaman kullanılan %2’lik lidokain ampül yerine şekil ve boyut olarak tamamen aynı paketlenmiş (sadece ampül boyun kısmında fazladan bir sarı çizgi hariç) %10’luk lidokainin dikkatsizlik sonucu hazırlanması nedeniyle, hastamıza hesaplanan dozun beş katı dozda ilaç uygulaması yapılmıştır
Summary
Lidocaine can be seen systemic intoxication, central nervous system (CNS) and cardiovascular toxicities, due to its common usage and broad safety margin. Yaygın kullanımı ve geniş güvenlik aralığı nedeniyle sistemik entoksikasyon, santral sinir sistemi ve kardiyovasküler sistem toksisitesi karşımıza çıkabilmektedir.
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