Mrad Sandra, El Tawil Chady, Sukaiti Waleed A, Bou Chebl Ralph, Abou Dagher Gilbert, Kazzi Ziad
Emergency Department, American University of Beirut Medical Center, Beirut, Lebanon.
Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Oman Med J. 2019 Jul;34(4):341-344. doi: 10.5001/omj.2019.66.
We report a case of a patient presenting to the emergency department in cardiac arrest following a liposuction procedure, which was performed in a physician office using lidocaine anesthesia. During liposuction of the thighs, using the power-assisted technique, the patient was given a subcutaneous dose of lidocaine equal to 71 mg/kg without any noticeable intraoperative complication. Two hours later, the patient experienced dizziness, a rapid decline in mental status, tonic-clonic seizure, and cardiac arrest. The patient was successfully resuscitated in the emergency department with the return of spontaneous circulation after 22 minutes of continuous advanced cardiovascular life support resuscitation. The patient suffered from subsequent severe hypoxic-ischemic brain injury, and a complicated hospital stay, including brain edema, electrolytes disturbances, and nosocomial infections contributed to her death two months later due to septic shock.
我们报告了一例患者，该患者在抽脂手术后心脏骤停被送至急诊科。抽脂手术是在医生办公室使用利多卡因麻醉进行的。在使用动力辅助技术进行大腿抽脂过程中，患者接受了皮下注射剂量为71mg/kg的利多卡因，术中未出现任何明显并发症。两小时后，患者出现头晕、精神状态迅速下降、强直阵挛性癫痫发作及心脏骤停。在急诊科经过22分钟持续的高级心血管生命支持复苏后，患者成功恢复自主循环。患者随后遭受了严重的缺氧缺血性脑损伤，住院期间病情复杂，包括脑水肿、电解质紊乱和医院感染，两个月后因感染性休克死亡。
