Key result
Nasal infiltration of lidocaine with epinephrine resulted in cardiac asystole in a patient with hypertrophic cardiomyopathy undergoing transsphenoidal hypophysectomy.
Highlights a severe adverse event (cardiac asystole) following nasal infiltration of lidocaine with epinephrine in a patient with hypertrophic cardiomyopathy.
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Alerts to asystole risk with lidocaine-epinephrine nasal infiltration in hypertrophic cardiomyopathy; single case leaves open incidence and generalizability.
Yang et al. (2009) studied this question. Nasal infiltration of lidocaine with epinephrine resulted in cardiac asystole in a patient with hypertrophic cardiomyopathy undergoing transsphenoidal hypophysectomy.
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