Anaes Cases · Anaesthetic adjuncts
Lidocaine infusion toxicity
Hot case — IV lidocaine toxicity. Stop infusion; airway; Intralipid; monitor. Same management as LAST but from infusion.
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ANZCAFRCAABAEDAIC
Prompt
On lidocaine infusion for postoperative analgesia, the patient develops circumoral tingling, agitation, then seizure. Manage.
Presentation
On IV lidocaine infusion (2 mg/kg/h) for postoperative analgesia after abdominal surgery, the patient develops circumoral tingling, metallic taste, visual disturbance, then generalised tonic-clonic seizure. Manage.
[2]References1ShowHide
- [2]Muntean C, et al. Intravenous Lidocaine as an Adjunct for Postoperative Recovery After Open Abdominal Surgery: A Systematic Review. J Clin Med, 2026.PMID 42278931