%0 Journal Article
%T Lidocaine Toxicity Misinterpreted as a Stroke
%A Bursell
%A Benjamin
%A Smally
%A Alan J
%A Ratzan
%A Richard M
%J Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health
%D 2009
%I UC Irvine Health School of Medicine.
%X For more than 50 years lidocaine has been used to treat ventricular arrhythmias. Neurologic dysfunction, manifested as a stroke, occurred acutely in an 87-year-old woman after she had been administered repeated doses of lidocaine, a lidocaine infusion, then an intravenous amiodarone infusion for ventricular tachycardia. This was ultimately diagnosed as lidocaine toxicity with a serum lidocaine level of 7.9 mg/L (1.5 - 6.0 mg/L). We discuss lidocaine toxicity and risk factors leading to its development, which include particularly hepatic dysfunction, cardiac dysfunction, advanced age and other drug administration.[West J Emerg Med. 2009;10(4):292-294.]
%K lidocaine
%K drug toxicity
%K stroke
%U http://escholarship.org/uc/item/6b31j01f