Lidocaine toxicity

Ann Emerg Med. 1980 Dec;9(12):627-9. doi: 10.1016/s0196-0644(80)80475-6.


Lidocaine is recognized as a first line drug for ventricular arrhythmias and has recently been used in acute myocardial infarction as prophylaxis against ventricular fibrillation. A 68-year-old man was erroneously given 2 gm of lidocaine by intravenous push and sustained a cardiac arrest. He was treated supportively and had complete recovery. We discuss complications of therapeutic and excessive doses of lidocaine and outline measures for treatment of massive lidocaine overdose.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Drug Packaging
  • Heart Arrest / chemically induced
  • Heart Arrest / therapy
  • Humans
  • Lidocaine / poisoning*
  • Male
  • Medication Errors
  • Resuscitation


  • Lidocaine