Cardiac arrest following liposuction: A case report of lidocaine toxicity
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Oman Medical Specialty Board
Abstract
We report a case of a patient presenting to the emergency department in cardiac arrest following a liposuction procedure, which was performed in a physician office using lidocaine anesthesia. During liposuction of the thighs, using the power-assisted technique, the patient was given a subcutaneous dose of lidocaine equal to 71 mg/kg without any noticeable intraoperative complication. Two hours later, the patient experienced dizziness, a rapid decline in mental status, tonic-clonic seizure, and cardiac arrest. The patient was successfully resuscitated in the emergency department with the return of spontaneous circulation after 22 minutes of continuous advanced cardiovascular life support resuscitation. The patient suffered from subsequent severe hypoxic-ischemic brain injury, and a complicated hospital stay, including brain edema, electrolytes disturbances, and nosocomial infections contributed to her death two months later due to septic shock. © 2019, Oman Medical Specialty Board. All rights reserved.
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Anesthesia, Cardiac arrest, Emergency department, Lidocaine, Liposuction, Alanine aminotransferase, Alkaline phosphatase, Antibiotic agent, Aspartate aminotransferase, Creatinine, Gamma glutamyltransferase, Lactic acid, Liver enzyme, Troponin, Valproic acid, Antibiotic therapy, Article, Aspiration pneumonia, Blood gas analysis, Brain edema, Cardiotoxicity, Case report, Clinical article, Computed tomographic angiography, Computer assisted tomography, Cyanosis, Dizziness, Electrocardiography, Electroencephalography, Electrolyte disturbance, Heart arrest, Hospital infection, Human, Hypersalivation, Hypoglycemia, Hypoxic ischemic encephalopathy, Intracranial pressure, Nuclear magnetic resonance imaging, Organ injury, Resuscitation, Return of spontaneous circulation, Septic shock, Tonic clonic seizure, Unconsciousness