Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection

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" Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection "
Carter Powell, Ashley E.; Mishler, Aimee; Quan, Dan

Document Type	:	AL
Record Number	:	928012
Doc. No	:	LA85s8f7vf
Language of Document	:	English
Main Entry	:	Carter Powell, Ashley E.; Mishler, Aimee; Quan, Dan
Title & Author	:	Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection [Article]\ Carter Powell, Ashley E.; Mishler, Aimee; Quan, Dan
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	2/4
Date	:	2018
Abstract	:	Lidocaine has been widely used as a local anesthetic as well as an antiarrhythmic. Its use in epidural anesthesia is increasing, which has introduced new risk and potential for harm not associated with older indications. We present a case of convulsion and atrial fibrillation seen after transforaminal cervical epidural injection with two milliliters of 2% lidocaine (40 milligrams) that resolved with no long-term sequelae. Patient had a negative serum lidocaine level. With cervical epidural injections being a common treatment for radicular pain, it is important for medical providers to be aware of the various complications associated with this procedure.