Korean J Anesthesiol.  1978 Dec;11(4):381-384.

Management of a Comatose Patient following Intravenous Regional Anesthesia with Lidocaine Hydrochloride

• Lee SY
• Kim IH
• Jeong KS

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.

MeSH Terms

Anesthesia, Conduction*
Busan
Coma*
Debridement
Fingers
Fractures, Open
Heart Arrest
Humans
Lidocaine*
Seizures
Tourniquets
Lidocaine