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Emerg Med J 2004;21:249-250 doi:10.1136/emj.2003.008730
  • Case report

Lignocaine toxicity; a complication of local anaesthesia administered in the community

  1. M J Donald,
  2. S Derbyshire
  1. Department of Emergency Medicine, Manly Hospital, Sydney, Australia
  1. Correspondence to:
 Dr M J Donald
 Balnakeil, 31a Strathkinness High Road, St Andrews, Fife KY16 9UA, UK; mikedonald25hotmail.com
  • Accepted 23 September 2003

Abstract

Local anaesthetic agents are among the most commonly used drugs in the emergency department. A case is reported of a complication arising from systemic toxicity after the injection of lignocaine (lidocaine). Emergency practitioners should maintain a high level of vigilance for the symptoms of toxicity after local anaesthetic administration. Particular care should be taken when calculating the maximum safe dose for young children.

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