Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
General Material Designation
[Article]
First Statement of Responsibility
Carter Powell, Ashley E.; Mishler, Aimee; Quan, Dan
SUMMARY OR ABSTRACT
Text of Note
Lidocaine has been widely used as a local anesthetic as well as an antiarrhythmic. Its use in epidural anesthesia is increasing, which has introduced new risk and potential for harm not associated with older indications. We present a case of convulsion and atrial fibrillation seen after transforaminal cervical epidural injection with two milliliters of 2% lidocaine (40 milligrams) that resolved with no long-term sequelae. Patient had a negative serum lidocaine level. With cervical epidural injections being a common treatment for radicular pain, it is important for medical providers to be aware of the various complications associated with this procedure.
SET
Date of Publication
2018
Title
Clinical Practice and Cases in Emergency Medicine
Volume Number
2/4
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Carter Powell, Ashley E.; Mishler, Aimee; Quan, Dan