Asif Gul, Naveed Masood, Musharraf Imaam.
Acute anaphylaxis with lignocaine
Pak Armed Forces Med J Dec 2007;57(4):324-6.
Combined Military Hospital Rawalpindi
A fifty years old was booked for cataract extraction under local anaesthesia. The facial and orbital nerves were blocked with 20 milliliter of 1 percent plain lignocaine. Within five minutes of administration it was observed that the patient became semiconscious and could not breathe properly. There was increased respiratory effort, and pulse oximeter read less than 80% saturation. Oxygen 100% was immediately started by mask. On further examination there was weak thready pulse and blood pressure could not be recorded. He was immediately resuscitated and kept on oxygen by mask, continuous adrenaline infusion and was given injection hydrocortisone 100 mg every six hours. Skin rash subsided, BP stabilized and chest cleared. He was kept over night in ITC and next morning discharged from the hospital.
Category: Case Reports
Keywords: Lignocaine. Drug Toxicity. Allergic Reaction.
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