Journal of Pediatrics Review
Journal of Pediatrics Review
J. Pediatr. Rev
Medical Sciences
http://jpr.mazums.ac.ir
1
admin
2322-4398
2322-4401
10.32598
en
jalali
1400
10
1
gregorian
2022
1
1
10
1
online
1
fulltext
en
A Case of Status Epilepticus Due to Topical Lidocaine Toxicity: A Case Report and Review of the Literature
Emergency Medicine
Case & Review
Case & Review
<strong>Background</strong>: Lidocaine hydrochloride is an acetamide derivative that was first introduced by Nils Löfgrene in 1943. It is a local anesthetic agent that is widely used in order to prepare the patient for repairing lacerations in everyday practice. Neurological toxicities have been reported with systemic and topical lidocaine.<br>
<strong>Methods</strong>: An eight-year-old female child was reported with a pure laceration who developed status epilepticus after receiving lidocaine along with ketamine. The patient had no medical history of epilepsy or allergic reaction and had a normal physical and mental development status. She received 200 mg lidocaine without epinephrine and underwent wound repair. The patient also received 60 mg of intramuscular ketamine in order to produce relative sedation. After an hour of wound repair, she developed a tonic-colonic generalized seizure representative of status epilepticus seizure. The convulsions were managed by benzodiazepines, and the patient was discharged without complication<br>
<strong>Conclusions</strong>: Status epilepticus can happen due to lidocaine. Although patients usually recover with no major complications, obeying safety protocols can prevent these events.
Seizure, Statues Epilepticus, Lidocaine
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60
http://jpr.mazums.ac.ir/browse.php?a_code=A-10-979-1&slc_lang=en&sid=1
Arman
Hakemi
HakemiA962@mums.ac.ir
10031947532846008104
10031947532846008104
No
Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Behrang
Rezvani Kakhki
Rezvanikb@mums.ac.ir
10031947532846008105
10031947532846008105
No
Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Sayyed Majid
Sadrzadeh
Sadrzadehm@mums.ac.ir
10031947532846008106
10031947532846008106
No
Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyed Mohammad
Mousavi
MousaviMH@mums.ac.ir
10031947532846008107
10031947532846008107
No
Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Elnaz
Vafadar Moradi
vafadarme@mums.ac.ir
10031947532846008108
10031947532846008108
Yes
Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.