Lidocaine-induced altered mental status and seizure after hematoma block.
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.
Dorf
Erik
E
Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USA.
Kuntz
Andrew F
AF
Kelsey
Julie
J
Holstege
Christopher P
CP
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*
D000779:Anesthetics, Local; D008012:Lidocaine