Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection

Lidocaine has been widely used as a local anesthetic as well as an antiarrhythmic. Its use in epidural anesthesia is increasing, which has introduced new risk and potential for harm not associated with older indications. We present a case of convulsion and atrial fibrillation seen after transforamin...

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Autores principales: Carter Powell, Ashley E., Mishler, Aimee, Quan, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230370/
https://www.ncbi.nlm.nih.gov/pubmed/30443623
http://dx.doi.org/10.5811/cpcem.2018.9.39539
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author Carter Powell, Ashley E.
Mishler, Aimee
Quan, Dan
author_facet Carter Powell, Ashley E.
Mishler, Aimee
Quan, Dan
author_sort Carter Powell, Ashley E.
collection PubMed
description Lidocaine has been widely used as a local anesthetic as well as an antiarrhythmic. Its use in epidural anesthesia is increasing, which has introduced new risk and potential for harm not associated with older indications. We present a case of convulsion and atrial fibrillation seen after transforaminal cervical epidural injection with two milliliters of 2% lidocaine (40 milligrams) that resolved with no long-term sequelae. Patient had a negative serum lidocaine level. With cervical epidural injections being a common treatment for radicular pain, it is important for medical providers to be aware of the various complications associated with this procedure.
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spelling pubmed-62303702018-11-15 Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection Carter Powell, Ashley E. Mishler, Aimee Quan, Dan Clin Pract Cases Emerg Med Case Report Lidocaine has been widely used as a local anesthetic as well as an antiarrhythmic. Its use in epidural anesthesia is increasing, which has introduced new risk and potential for harm not associated with older indications. We present a case of convulsion and atrial fibrillation seen after transforaminal cervical epidural injection with two milliliters of 2% lidocaine (40 milligrams) that resolved with no long-term sequelae. Patient had a negative serum lidocaine level. With cervical epidural injections being a common treatment for radicular pain, it is important for medical providers to be aware of the various complications associated with this procedure. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2018-10-16 /pmc/articles/PMC6230370/ /pubmed/30443623 http://dx.doi.org/10.5811/cpcem.2018.9.39539 Text en Copyright: © 2018 Carter Powell et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Carter Powell, Ashley E.
Mishler, Aimee
Quan, Dan
Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_full Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_fullStr Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_full_unstemmed Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_short Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_sort convulsion and atrial fibrillation after transforaminal cervical epidural lidocaine injection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230370/
https://www.ncbi.nlm.nih.gov/pubmed/30443623
http://dx.doi.org/10.5811/cpcem.2018.9.39539
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AT quandan convulsionandatrialfibrillationaftertransforaminalcervicalepidurallidocaineinjection

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