A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case Report
Joo Yong Lee, Hyeon Tae Kim, Jeong Moon Won, Young Duck Shin Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, College of Medicine, Chungbuk National University, Cheongju, KoreaCorrespondence: Young Duck Shin; Hyeon Tae KimDepartment of Anesthesiology and Pain Me...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-09-01
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| Series: | Journal of Pain Research |
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| Online Access: | https://www.dovepress.com/a-rare-case-of-euphoria-caused-by-lidocaine-after-an-erector-spinae-pl-peer-reviewed-article-JPR |
| _version_ | 1818235259232190464 |
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| author | Lee JY Kim HT Won JM Shin YD |
| author_facet | Lee JY Kim HT Won JM Shin YD |
| author_sort | Lee JY |
| collection | DOAJ |
| description | Joo Yong Lee, Hyeon Tae Kim, Jeong Moon Won, Young Duck Shin Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, College of Medicine, Chungbuk National University, Cheongju, KoreaCorrespondence: Young Duck Shin; Hyeon Tae KimDepartment of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, 776, 1 Sunhwan-Ro, Seowon-Gu, Cheongju, Chungbuk 28644, KoreaTel +82-43-269-6234; +82-43-269-6988Fax +82-43-272-0264Email yydshin@naver.com; gskht@naver.comAbstract: Lidocaine is a cost-effective drug that is widely used for local and regional anesthesia. However, central nervous system (CNS) toxicity can occur when lidocaine is administered above the maximum recommended dose (approximately 4.5 mg/kg) or if lidocaine is injected intravascularly rather than administered locally. Systemic toxicity by lidocaine has been reported in several studies. However, psychotic reactions due to lidocaine have been rarely reported; furthermore, reports of lidocaine-related euphoria are very rare. We report a very rare case of euphoria caused by CNS toxicity that occurred during the local administration of lidocaine at the therapeutic dose. Therefore, anesthesiologists should be aware of the severe side effects of local anesthetics despite administering the appropriate dosage at the appropriate location. Future studies should investigate pharmacokinetics to determine the safety profile of local anesthetics.Keywords: euphoria, lidocaine, adverse effects, nerve block |
| first_indexed | 2024-12-12T11:51:07Z |
| format | Article |
| id | doaj.art-671ca2b84ec54ee0a9dbaa3011039168 |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-12T11:51:07Z |
| publishDate | 2020-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-671ca2b84ec54ee0a9dbaa30110391682022-12-22T00:25:19ZengDove Medical PressJournal of Pain Research1178-70902020-09-01Volume 132329233257216A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case ReportLee JYKim HTWon JMShin YDJoo Yong Lee, Hyeon Tae Kim, Jeong Moon Won, Young Duck Shin Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, College of Medicine, Chungbuk National University, Cheongju, KoreaCorrespondence: Young Duck Shin; Hyeon Tae KimDepartment of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, 776, 1 Sunhwan-Ro, Seowon-Gu, Cheongju, Chungbuk 28644, KoreaTel +82-43-269-6234; +82-43-269-6988Fax +82-43-272-0264Email yydshin@naver.com; gskht@naver.comAbstract: Lidocaine is a cost-effective drug that is widely used for local and regional anesthesia. However, central nervous system (CNS) toxicity can occur when lidocaine is administered above the maximum recommended dose (approximately 4.5 mg/kg) or if lidocaine is injected intravascularly rather than administered locally. Systemic toxicity by lidocaine has been reported in several studies. However, psychotic reactions due to lidocaine have been rarely reported; furthermore, reports of lidocaine-related euphoria are very rare. We report a very rare case of euphoria caused by CNS toxicity that occurred during the local administration of lidocaine at the therapeutic dose. Therefore, anesthesiologists should be aware of the severe side effects of local anesthetics despite administering the appropriate dosage at the appropriate location. Future studies should investigate pharmacokinetics to determine the safety profile of local anesthetics.Keywords: euphoria, lidocaine, adverse effects, nerve blockhttps://www.dovepress.com/a-rare-case-of-euphoria-caused-by-lidocaine-after-an-erector-spinae-pl-peer-reviewed-article-JPReuphorialidocaineadverse effectsnerve block. |
| spellingShingle | Lee JY Kim HT Won JM Shin YD A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case Report Journal of Pain Research euphoria lidocaine adverse effects nerve block. |
| title | A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case Report |
| title_full | A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case Report |
| title_fullStr | A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case Report |
| title_full_unstemmed | A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case Report |
| title_short | A Rare Case of Euphoria Caused by Lidocaine After an Erector Spinae Plane Block: A Case Report |
| title_sort | rare case of euphoria caused by lidocaine after an erector spinae plane block a case report |
| topic | euphoria lidocaine adverse effects nerve block. |
| url | https://www.dovepress.com/a-rare-case-of-euphoria-caused-by-lidocaine-after-an-erector-spinae-pl-peer-reviewed-article-JPR |
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