Department of Neurology, Saint George Hospital University Medical Center, Beirut, Lebanon
Short Communication
Lidocaine Spray Induced Seizures after Bronchoscopy
Author(s): 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.. View more»