Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection

Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection

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 transforamin...

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Main Authors: Ashley E. Carter Powell, Aimee Mishler, Dan Quan
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2018-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/85s8f7vf
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spelling doaj-4c7345fe9fe64550b9368bc190ab5d472020-11-25T02:08:27ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2018-11-012410.5811/cpcem.2018.9.39539cpcem-02-344Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine InjectionAshley E. Carter Powell0Aimee Mishler1Dan Quan2Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, ArizonaMaricopa Integrated Health System, Department of Emergency Medicine, Phoenix, ArizonaMaricopa Integrated Health System, Department of Emergency Medicine, Phoenix, ArizonaLidocaine 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.https://escholarship.org/uc/item/85s8f7vf
collection DOAJ
language English
format Article
sources DOAJ
author Ashley E. Carter Powell
Aimee Mishler
Dan Quan
spellingShingle Ashley E. Carter Powell
Aimee Mishler
Dan Quan
Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
Clinical Practice and Cases in Emergency Medicine
author_facet Ashley E. Carter Powell
Aimee Mishler
Dan Quan
author_sort Ashley E. Carter Powell
title Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_short Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_full Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_fullStr Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_full_unstemmed Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection
title_sort convulsion and atrial fibrillation after transforaminal cervical epidural lidocaine injection
publisher eScholarship Publishing, University of California
series Clinical Practice and Cases in Emergency Medicine
issn 2474-252X
publishDate 2018-11-01
description 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.
url https://escholarship.org/uc/item/85s8f7vf
work_keys_str_mv AT ashleyecarterpowell convulsionandatrialfibrillationaftertransforaminalcervicalepidurallidocaineinjection
AT aimeemishler convulsionandatrialfibrillationaftertransforaminalcervicalepidurallidocaineinjection
AT danquan convulsionandatrialfibrillationaftertransforaminalcervicalepidurallidocaineinjection
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