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
Publication details
- DOI
- 10.5001/omj.2019.66
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Mrad, S., El Tawil, C., Sukaiti, W. A., Chebl, R. B., Dagher, G. A., & Kazzi, Z. (2019). Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity. Oman Medical Journal. https://doi.org/10.5001/omj.2019.66
MLA 9
Mrad, Sandra, et al. "Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity." Oman Medical Journal, 2019. https://doi.org/10.5001/omj.2019.66.
Chicago (author–date)
Mrad, Sandra, Chady El Tawil, Waleed A. Sukaiti, Ralph Bou Chebl, Gilbert Abou Dagher, and Ziad Kazzi. 2019. "Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity." Oman Medical Journal. https://doi.org/10.5001/omj.2019.66.
Harvard
Mrad, S., El Tawil, C., Sukaiti, W. A., Chebl, R. B., Dagher, G. A. and Kazzi, Z. (2019) 'Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity', Oman Medical Journal. doi:10.5001/omj.2019.66.
Vancouver
Mrad S, El Tawil C, Sukaiti WA, Chebl RB, Dagher GA, Kazzi Z. Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity. Oman Medical Journal. 2019. doi:10.5001/omj.2019.66
IEEE
S. Mrad, C. El Tawil, W. A. Sukaiti, R. B. Chebl, G. A. Dagher, and Z. Kazzi, "Cardiac Arrest Following Liposuction: A Case Report of Lidocaine Toxicity," Oman Medical Journal, 2019, doi: 10.5001/omj.2019.66.