Journal of Emergency Practice and Trauma

Oral ingestion of lidocaine for suicide: A case report

Document Type : Case Report

Authors

Maryam Adimolmasali 1
Ali Teimouri 2
Hamid Reza Mokhtar 1
Mahdi Foroughian 1
Parvin Zohoorian Sadr 1
Mohammad Hossien Kamaloddini 3

1 Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

3 Clinical Toxicology Department, Imam Reza Hospital, Mashhad, Iran

https://doi.org/10.34172/jept.2020.42
Abstract
Systemic toxemia with topical anesthetics could be fatal due to the use of anesthetics in various ways (oral, intravenous, intramuscular, or subcutaneous). Nowadays, topical anesthetics are used in inpatient and outpatient treatments. Despite its widespread usage, many physicians are not fully aware of the deadly side effects of lidocaine poisoning and its treatment. The objective of this case report is to highlight the diagnosis and treatment of lidocaine toxicity. A 21-year-old woman with a history of multiple suicide attempts ingested approximately three 10% w/w lidocaine sprays. The patient was brought to the emergency department of Imam Reza hospital of Mashhad University of Medical Science with cardiac arrest and respiratory failure. After successful cardiopulmonary resuscitation (CPR), she was admitted to the intensive care unit (ICU). She stayed in ICU for 2 days and we administered dobutamine drip and intravenous lipid emulsion for her then she was transferred to the general ward. We discharged her after 8 days.

Keywords

Lidocaine
Oral ingestion
Suicide
Subjects
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Journal of Emergency Practice and Trauma
Volume 7, Issue 2
July 2021
Pages 135-136

  • Receive Date 16 September 2020
  • Revise Date 11 October 2020
  • Accept Date 16 October 2020

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