BACKGROUND: Local anesthetics are commonly used in the @entity341 ( @entity341 ). @entity1445 can lead to disastrous complications including @entity1370 and arrest. Recognition of local anesthetic systemic @entity137 (LAST) is important; however, prevention is even more critical. Knowledge of proper @entity3303 dosage can prevent LAST. LAST may be effectively treated with lipid emulsion therapy. Although the mechanism is not well understood, its use may have a profound impact on morbidity and mortality. CASE REPORT: Fifty milliliters of 2% @entity3303 was infiltrated for local anesthesia in a 35-year-old @entity1 during the incision and drainage of a @entity733 . Following the procedure, the @entity1 @entity391 , with rapid progression to an altered mental state and @entity410 requiring endotracheal intubation for airway protection. Suspecting @entity3303 @entity137 , intralipids were ordered. While waiting for the intralipids, the @entity1 decompensated and suffered pulseless electrical activity ( @entity3587 ) @entity1167 . A 100-mL bolus of 20% intralipids was administered 3 minutes into the resuscitation, after which return of spontaneous circulation occurred. The intralipid bolus was then followed by a continuous infusion of 0.25 mL/kg/minute, for an infusion dose of 930 mL. Despite a complicated hospital course, the @entity1 was discharged home neurologically intact. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We believe this @entity1 's @entity65 was secondary to an iatrogenic @entity1445 of @entity3303 . This is one of the first cases to support the efficacy of intravenous lipids in the treatment of LAST in @entity1 in the @entity341 .

XXXX -Induced @entity1167 in the Emergency Department: Effectiveness of Lipid Therapy.

@entity1 :: ('9606', 'Species') :: ['woman', 'humans', 'patient'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure'] @entity137 :: ('MESH:D064420', 'Disease') :: ['toxicity'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity1445 :: ('MESH:D062787', 'Disease') :: ['Overdoses', 'overdose'] @entity391 :: ('MESH:D014839', 'Disease') :: ['complained of vomiting'] @entity3303 :: ('MESH:D008012', 'Chemical') :: ['lidocaine'] @entity733 :: ('MESH:D000038', 'Disease') :: ['labial abscess'] @entity65 :: ('MESH:D002318', 'Disease') :: ['cardiovascular collapse'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity1370 :: ('MESH:D066126', 'Disease') :: ['cardiac toxicity'] @entity3587 :: ('3888', 'Species') :: ['PEA']
@entity3303 :: (MESH:D008012,Chemical) :: ['Lidocaine']
