Lidocaine-induced cardiac arrest during CT-guided lung biopsy: a case report of local anesthetic systemic toxicity outside the operating room - PubMed
9 hours ago
- #LAST
- #Lidocaine
- #Cardiac Arrest
- A 78-year-old man experienced cardiac arrest immediately after receiving 30 mL of lidocaine for a CT-guided lung biopsy.
- The patient required CPR and adrenaline to achieve return of spontaneous circulation (ROSC).
- Post-ROSC, the patient showed neurological deficits (slurred speech and left-sided weakness) but fully recovered by day 3.
- The case highlights the risk of local anesthetic systemic toxicity (LAST) outside the operating room.
- Recommendations include vigilance for LAST, dose adjustment in vulnerable patients, and institutional preparedness with 20% lipid emulsion availability.