Lidocaine-induced cardiac arrest during CT-guided lung biopsy: a case report of local anesthetic systemic toxicity outside the operating room - PubMed
19 hours ago
- #LAST
- #Lidocaine
- #Cardiac Arrest
- 一名78岁男性在CT引导下肺活检术中接受30毫升利多卡因后立即出现心脏骤停
- 患者需进行心肺复苏和使用肾上腺素才恢复自主循环(ROSC)
- ROSC后患者出现神经系统症状(言语含糊和左侧肢体无力)但第3天完全恢复
- 该病例凸显了手术室外发生局部麻醉剂全身毒性(LAST)的风险
- 建议包括警惕LAST症状、对脆弱患者调整剂量、医疗机构需配备20%脂肪乳剂应急