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Vol. 54. Issue 9.
Pages 657-660 (November 2003)
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Vol. 54. Issue 9.
Pages 657-660 (November 2003)
Toxicidad por administración tópica de lidocaína
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J.M. Gómez Martín-zarco*, P. Ortiz García
* Departamento De Otorrinolaríngología
J. Lumbreras Fernández De Córdoba*
* Departamento De Anestesiología. Clínica "La Milagrosa". Madrid
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Resumen

Está muy descrita en la literatura internacional la posibilidad de presentar una serie de complicaciones por toxicidad por anestésicos locales, entre ellos la lidocaína. Los problemas con su uso infiltrativo local, son más conocidos y más respetados. En cambio, su toxicidad tópica es algo igual de posible y en cambio menos tenido en cuenta en general. Vamos a presentar el caso de una toxicidad por administración de lidocaína tópica en forma del preparado Xylocaína®, que produjo cuadro neurológico, con convulsiones; y cardíaco, llegando a la parada por fibrilación ventricular, en un paciente que iba a someterse a una intervención de tiroplastia. El cuadro se solventó sin secuelas.

Abstract

It is frequently described in international literature the possibility of toxicity by local anesthesics. The lidocaine is one of them. The problems with its local use are more frequent and known but topic toxicity is also possible. We want to describe a case of toxicity by topical administration of lidocaine (Xylocain®) which caused neurological disease with covulsions, and cardiological disease with ventricular fibrillation, in a patient who came for a thyroplasty. Patient’s evolution was satisfactory.

Palabras Clave:
Lidocaína
Toxicidad
Tópica

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