oa Southern African Journal of Anaesthesia and Analgesia - Cardiac arrest after submucosal infiltration with lignocaine 2% - epinephrine in nasal surgery : a case report : case studies

Volume 15, Issue 5
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



A case of a 26-year-old ASA I physical status male undergoing septoplasty had an abrupt pulseless ventricular tachycardia following submucosal infiltration of lignocaine 2% with epinephrine 1:200,000 combination. Ventricular tachycardia associated with unconsciousness and absent peripheral pulse was transient and easily reverted by precordial thump, but was recurrent. Ventricular tachycardia was replaced by ventricular bigeminy and subsequently by sinus tachycardia.

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