Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review

Detalhes bibliográficos
Autor(a) principal: Nunes Silva, M
Data de Publicação: 2023
Outros Autores: Ferro, A, Fragata, I
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.17/4698
Resumo: Lidocaine, a local anesthetic, is commonly used in various medical procedures. Despite its widespread use, most physicians are not familiar with the life threatening presentation of lidocaine toxicity and its treatment. Our case demonstrates successful management of local lidocaine-induced systemic toxicity in a 53-year-old female during insertion of an implantable cardioverter defibrillator. Our goal was to raise awareness of the risks and symptoms of local anesthetic toxicity, educate regarding the site of administration and dose of anesthetic delivery as independent risk factors for systemic toxicity and highlight the use of intravenous lipid emulsion as an antidote.
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spelling Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature ReviewIntoxicação do Sistema Nervoso Central Durante a Implantação de um Cardioversor Desfibrilhador Implantável -- Um Caso Clínico e Revisão da LiteraturaHSM ANSHumansFemaleAnesthetics, Local / adverse effectsMiddle AgedCentral Nervous SystemDefibrillators, Implantable* / adverse effectsLidocaine* / adverse effectsRisk FactorsLidocaine, a local anesthetic, is commonly used in various medical procedures. Despite its widespread use, most physicians are not familiar with the life threatening presentation of lidocaine toxicity and its treatment. Our case demonstrates successful management of local lidocaine-induced systemic toxicity in a 53-year-old female during insertion of an implantable cardioverter defibrillator. Our goal was to raise awareness of the risks and symptoms of local anesthetic toxicity, educate regarding the site of administration and dose of anesthetic delivery as independent risk factors for systemic toxicity and highlight the use of intravenous lipid emulsion as an antidote.A lidocaína é um anestético local vulgarmente usado em vários procedimentos médicos. Apesar do seu uso abrangente, a maioria dos clínicos não está familiarizada com os sinais e sintomas de toxicidade e o seu tratamento. O nosso caso demonstra o tratamento bem-sucedido de uma intoxicação sistémica de lidocaína numa mulher de 53 anos durante a implantação de um cardioversor desfibrilhador implantável (CDI). O nosso objetivo é consciencializar para os riscos, sinais e sintomas da intoxicação de anestésicos locais, informar sobre o local e dose de administração como fatores de risco independentes para a toxicidade sistémica e enfatizar ouso de emulsão lipídica como antídoto.Elsevier EspañaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPENunes Silva, MFerro, AFragata, I2023-09-28T14:42:49Z2023-052023-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/4698engRev Port Cardiol . 2023 May;42(5):483.e1-483.e4.10.1016/j.repc.2020.07.025info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-01T06:32:01Zoai:repositorio.chlc.min-saude.pt:10400.17/4698Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:31:54.459756Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
Intoxicação do Sistema Nervoso Central Durante a Implantação de um Cardioversor Desfibrilhador Implantável -- Um Caso Clínico e Revisão da Literatura
title Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
spellingShingle Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
Nunes Silva, M
HSM ANS
Humans
Female
Anesthetics, Local / adverse effects
Middle Aged
Central Nervous System
Defibrillators, Implantable* / adverse effects
Lidocaine* / adverse effects
Risk Factors
title_short Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
title_full Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
title_fullStr Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
title_full_unstemmed Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
title_sort Lidocaine-Induced Central Nervous System Toxicity During Implantable Cardioverter Defibrillator Placement – A Case Report and Literature Review
author Nunes Silva, M
author_facet Nunes Silva, M
Ferro, A
Fragata, I
author_role author
author2 Ferro, A
Fragata, I
author2_role author
author
dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Nunes Silva, M
Ferro, A
Fragata, I
dc.subject.por.fl_str_mv HSM ANS
Humans
Female
Anesthetics, Local / adverse effects
Middle Aged
Central Nervous System
Defibrillators, Implantable* / adverse effects
Lidocaine* / adverse effects
Risk Factors
topic HSM ANS
Humans
Female
Anesthetics, Local / adverse effects
Middle Aged
Central Nervous System
Defibrillators, Implantable* / adverse effects
Lidocaine* / adverse effects
Risk Factors
description Lidocaine, a local anesthetic, is commonly used in various medical procedures. Despite its widespread use, most physicians are not familiar with the life threatening presentation of lidocaine toxicity and its treatment. Our case demonstrates successful management of local lidocaine-induced systemic toxicity in a 53-year-old female during insertion of an implantable cardioverter defibrillator. Our goal was to raise awareness of the risks and symptoms of local anesthetic toxicity, educate regarding the site of administration and dose of anesthetic delivery as independent risk factors for systemic toxicity and highlight the use of intravenous lipid emulsion as an antidote.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-28T14:42:49Z
2023-05
2023-05-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.17/4698
url http://hdl.handle.net/10400.17/4698
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rev Port Cardiol . 2023 May;42(5):483.e1-483.e4.
10.1016/j.repc.2020.07.025
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier España
publisher.none.fl_str_mv Elsevier España
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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