Local anesthesia systemic toxicity (LAST) treated as anaphylaxis
Local anesthesia systemic toxicity (LAST) and anaphylaxis are the life-threatening adverse effects of lignocaine. Both have different presentations and treatments. We report a case of 35-year-old female who came to our Emergency Department (ED) with symptoms of lethargy, drowsiness, and diffic...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2021
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| Online Access: | http://journalarticle.ukm.my/17455/1/24_ms0402_pdf_17197.pdf http://journalarticle.ukm.my/17455/ https://www.medicineandhealthukm.com/toc/16/1 |
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| Summary: | Local anesthesia systemic toxicity (LAST) and anaphylaxis are the life-threatening
adverse effects of lignocaine. Both have different presentations and treatments.
We report a case of 35-year-old female who came to our Emergency Department
(ED) with symptoms of lethargy, drowsiness, and difficulty breathing with foreign
body sensation and a metallic taste in the throat which started 15 minutes after a
right shoulder injection with 250 mg of lignocaine mixed with Triamcinolone in the Orthopedic Clinic. She was pushed to the resuscitation bay and was treated as
anaphylaxis. Upon further evaluation, the blood pressure was never hypotensive,
no sign of compromised airway, no gastrointestinal symptom, and no mucosal
involvement which directs to the diagnosis of LAST rather than anaphylaxis.
Surprisingly, she was gradually improving and was discharged home after six hours
of observation in the ED. This is the first case report that LAST had been effectively
treated as anaphylaxis. |
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