Cardiac arrest from inadvertent overdose of lidocaine hydrochloride through an arterial pressure line flush apparatus.
An overdose of the antiarrhythmic drug, lidocaine hydrochloride, was inadvertently administered to a patient through an arterial pressure monitoring apparatus, resulting in cardiac asystole. This medication error demonstrates to all anesthesia care team members the importance of preventing similar occurrences.
Gilbert
T B
TB
Division of Cardiothoracic Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland 21201-1595, USA. tgilbert@anes.umm.edu
D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000009:adverse effects; D001158:Arteries; D001795:Blood Pressure Determination / Q000295:instrumentation; D002406:Catheterization, Peripheral; D006323:Heart Arrest / Q000139:chemically induced*; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage* / Q000009:adverse effects; D008297:Male; D008508:Medication Errors; D014160:Transducers, Pressure
D000779:Anesthetics, Local; D008012:Lidocaine