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Case Reports
. 2019 Jul;34(4):341-344.
doi: 10.5001/omj.2019.66.

Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity

Sandra Mrad  1 , Chady El Tawil  1 , Waleed A Sukaiti  2 , Ralph Bou Chebl  1 , Gilbert Abou Dagher  1 , Ziad Kazzi  1   2   3
Affiliations
Case Reports

Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity

Sandra Mrad et al. Oman Med J. 2019 Jul.

Abstract

We report a case of a patient presenting to the emergency department in cardiac arrest following a liposuction procedure, which was performed in a physician office using lidocaine anesthesia. During liposuction of the thighs, using the power-assisted technique, the patient was given a subcutaneous dose of lidocaine equal to 71 mg/kg without any noticeable intraoperative complication. Two hours later, the patient experienced dizziness, a rapid decline in mental status, tonic-clonic seizure, and cardiac arrest. The patient was successfully resuscitated in the emergency department with the return of spontaneous circulation after 22 minutes of continuous advanced cardiovascular life support resuscitation. The patient suffered from subsequent severe hypoxic-ischemic brain injury, and a complicated hospital stay, including brain edema, electrolytes disturbances, and nosocomial infections contributed to her death two months later due to septic shock.

Keywords: Anesthesia; Cardiac Arrest; Emergency Department; Lidocaine; Liposuction.

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Figures

Figure 1
Figure 1
Electrocardiogram following return of spontaneous circulation.
See this image and copyright information in PMC

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