Cardiac arrest from inadvertent overdose of lidocaine hydrochloride through an arterial pressure line flush apparatus

Anesth Analg. 2001 Dec;93(6):1534-6, table of contents. doi: 10.1097/00000539-200112000-00041.


An overdose of the antiarrhythmic drug, lidocaine hydrochloride, was inadvertently administered to a patient through an arterial pressure monitoring apparatus, resulting in cardiac asystole. This medication error demonstrates to all anesthesia care team members the importance of preventing similar occurrences.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anesthetics, Local / administration & dosage*
  • Anesthetics, Local / adverse effects
  • Arteries
  • Blood Pressure Determination / instrumentation
  • Catheterization, Peripheral
  • Heart Arrest / chemically induced*
  • Humans
  • Lidocaine / administration & dosage*
  • Lidocaine / adverse effects
  • Male
  • Medication Errors*
  • Transducers, Pressure


  • Anesthetics, Local
  • Lidocaine