J Korean Soc Emerg Med.
2008 Oct;19(5):595-597.
A Case of Status Epilepticus Following High Dose of Intradermal Lidocaine Injection
- Affiliations
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- 1Department of Emergency Medicine, College of Medicine, Chungnam National University, Korea. emfire@cnuh.co.kr
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.
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