Lidocaine toxicity secondary to postoperative bladder instillation in a pediatric patient.
The intravesical use of local anesthetics has been described for a variety of urologic procedures with no previous reports of toxicity. We recently took care of a 2.5- year-old girl with systemic lidocaine toxicity following treatment for postoperative bladder spasms. The patient developed a generalized seizure requiring endotracheal intubation but recovered fully with supportive care. We report the clinical details of this case as well as a brief review of lidocaine toxicity.
Clapp
C R
CR
Department of Pediatrics, Naval Medical Center San Diego, San Diego, California 92134-5000, USA.
Poss
W B
WB
Cilento
B G
BG
D000283:Administration, Intravesical; D000777:Anesthetics / Q000009:adverse effects*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D011183:Postoperative Complications / Q000188:drug therapy*; D012640:Seizures / Q000139:chemically induced*; D013035:Spasm / Q000188:drug therapy* / Q000209:etiology; D001745:Urinary Bladder Diseases / Q000188:drug therapy* / Q000209:etiology; D013520:Urologic Surgical Procedures / Q000009:adverse effects
D000777:Anesthetics; D008012:Lidocaine