Journal of Clinical & Experimental Pharmacology

Abstract

Lidocaine Spray Induced Seizures after Bronchoscopy

Malak El Ayssami*, Aline Mourad, Fadi Abou Rizk, Salim Salloum and Mounir Khoury

Lidocaine spray is a commonly used local anesthetic to prevent gag reflexes in minimally invasive procedures, such as transesophageal echocardiography and bronchoscopy. Here, we report a case of a seventy-five-year-old female patient, who was scheduled for a bronchoscopy to rule out Pneumocystis carinii pneumonitis and developed a loss of consciousness with witnessed generalized tonic-clonic epileptic seizures following the use of lidocaine spray. The patient was subsequently intubated with 3 mg midazolam while oxygen was provided by a facemask at 6 liters/min. There were signs of respiratory acidosis in the blood gas analysis done post-intubation. The patient was intubated for only two hours by a mechanical ventilator and monitored overnight in the intensive care unit post successful extubation. Precautions should be taken to prevent rare adverse complications in all procedures that require local anesthesia.

Published Date: 2024-03-25; Received Date: 2024-02-22