title: Lidocaine-induced altered mental status and seizure after hematoma block.
abstract: Hematoma blocks with lidocaine are routinely utilized in the Emergency Department to allow reduction of Colles' fractures. Lidocaine toxicity is a potential complication of this procedure. We present a case report of a patient who developed acute mental status changes and generalized seizure immediately following administration of lidocaine during a hematoma block. The rapid onset of seizure development following injection was most likely due to inadvertent intravascular administration.
authors.affiliation: Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: Erik
authors.initials: E
authors.lastname: Dorf
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Kuntz
authors.forename: Julie
authors.initials: J
authors.lastname: Kelsey
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Holstege
mesh_terms: D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005592:Fracture Fixation; D006406:Hematoma; D006801:Humans; D007275:Injections, Intravenous; D008012:Lidocaine / Q000008:administration & dosage / Q000009:adverse effects*; D008508:Medication Errors / Q000009:adverse effects*; D012640:Seizures / Q000139:chemically induced*
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine