Abstract
A 14-day-old infant received intravenous lidocaine (2 mg·kg-1 ) at the conclusion of cataract surgery to prevent coughing from tracheal tube stimulation. Within 30 seconds the infant developed high-grade AV heart block and a ventricular rate of 40. Following brief resuscitation efforts, the patient had a normal cardiac rhythm, blood pressure and respiratory pattern. Intravenous lidocaine may be followed by major disturbances in cardiac rhythm and rate. Cautious titration of small doses should decrease the potential for adverse effects.
Résumé
A la fin d’ une chirurgie pour cataracte, un enfant de 14 jours a reçu une injection intraveineuse de lidocaine (2 mg· kg-1) afin de prévenir la toux provoquée par le tube endotrachéal. En dedans de 30 secondes, l’enfant a développé un bloc AV avec un rythme ventriculaire de 40. Après des manœuvres brèves de réanimation, le rythme cardiaque, la pression artérielle ainsi que la respiration retournèrent à la normale. L’ injection intraveineuse de lidocaine peut être suivie par des perturbations majeurs dans le rythme et la fréquence cardiaque. La précaution dans le calcul des petites doses à administrer doit diminuer le risque potentiel des effets secondaires.
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Garner, L., Stirt, J.A. & Finholt, D.A. Heart block after intravenous lidocaine in an infant. Can Anaesth Soc J 32, 425–428 (1985). https://doi.org/10.1007/BF03011356
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DOI: https://doi.org/10.1007/BF03011356