title: Lidocaine toxicity.
abstract: Lidocaine is recognized as a first line drug for ventricular arrhythmias and has recently been used in acute myocardial infarction as prophylaxis against ventricular fibrillation. A 68-year-old man was erroneously given 2 gm of lidocaine by intravenous push and sustained a cardiac arrest. He was treated supportively and had complete recovery. We discuss complications of therapeutic and excessive doses of lidocaine and outline measures for treatment of massive lidocaine overdose.
mesh_terms: D000368:Aged; D004349:Drug Packaging; D006323:Heart Arrest / Q000139:chemically induced / Q000628:therapy; D006801:Humans; D008012:Lidocaine / Q000506:poisoning*; D008297:Male; D008508:Medication Errors; D012151:Resuscitation
chemical_list: D008012:Lidocaine