title: Lidocaine intoxication in axillary block: similar pharmaceutical form, different concentration.
abstract: Local anesthetic intoxication is a medical emergency with high mortality. These drugs have not spesific antidotes, quick differential diagnosis and supportive treatment required in the case of exposure to toxic doses. We report the complications and anesthetic management of a patient who was scheduled for right carpal tunnel syndrome surgery under regional anesthesia, but mistakenly received injection of 140 mg procaine added to 10% 10 mL lidocaine (10 mL=1000mg) instead of 2% lidocaine (10mL=200 mg) as part of an axillary plexus blockade.
authors.affiliation: Department of Anesthesiology, Ahi Evran University, Training And Research Hospital, Kirsehir, Turkey.
authors.forename: Zeynel Abidin
authors.initials: ZA
authors.lastname: Erbesler
authors.affiliation: Department of Anesthesiology, Umraniye Training and Research Hospital, Istanbul, Turkey.
authors.forename: Gulsah
authors.initials: G
authors.lastname: Karaoren
authors.affiliation: Department of Anesthesiology, Ahi Evran University, Training And Research Hospital, Kirsehir, Turkey.
authors.forename: Recai
authors.initials: R
authors.lastname: Dagli
authors.affiliation: Department of Anesthesiology, Prof. Dr. Celal Ertug Etimesgut Hospital, Ankara, Turkey.
authors.forename: Vedat
authors.initials: V
authors.lastname: Cakirtekin
keywords: Axillary blokage; intoxication; lidocaine