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- Erik Dorf, Andrew F Kuntz, Julie Kelsey, and Christopher P Holstege.
- Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USA.
- J Emerg Med. 2006 Oct 1;31(3):251-3.
AbstractHematoma blocks with lidocaine are routinely utilized in the Emergency Department to allow reduction of Colles' fractures. Lidocaine toxicity is a potential complication of this procedure. We present a case report of a patient who developed acute mental status changes and generalized seizure immediately following administration of lidocaine during a hematoma block. The rapid onset of seizure development following injection was most likely due to inadvertent intravascular administration.
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