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{
    "pk": 599,
    "title": "Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection",
    "subtitle": null,
    "abstract": "Lidocaine has been widely used as a local anesthetic as well as an antiarrhythmic. Its use in epidural anesthesia is increasing, which has introduced new risk and potential for harm not associated with older indications. We present a case of convulsion and atrial fibrillation seen after transforaminal cervical epidural injection with two milliliters of 2% lidocaine (40 milligrams) that resolved with no long-term sequelae. Patient had a negative serum lidocaine level. With cervical epidural injections being a common treatment for radicular pain, it is important for medical providers to be aware of the various complications associated with this procedure.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/85s8f7vf",
    "frozenauthors": [
        {
            "first_name": "Ashley",
            "middle_name": "E.",
            "last_name": "Carter Powell",
            "name_suffix": "",
            "institution": "Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, Arizona\nUniversity of Arizona College of Medicine - Phoenix, Phoenix, Arizona\nBanner - University Medical Center Phoenix, Department of Medical Toxicology, Phoenix, Arizona",
            "department": "None"
        },
        {
            "first_name": "Aimee",
            "middle_name": "",
            "last_name": "Mishler",
            "name_suffix": "",
            "institution": "Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, Arizona",
            "department": "None"
        },
        {
            "first_name": "Dan",
            "middle_name": "",
            "last_name": "Quan",
            "name_suffix": "",
            "institution": "Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, Arizona\nUniversity of Arizona College of Medicine - Phoenix, Phoenix, Arizona\nCreighton University, School of Medicine, Phoenix, Arizona",
            "department": "None"
        }
    ],
    "date_submitted": "2018-09-28T21:57:12+01:00",
    "date_accepted": "2018-09-28T21:57:12+01:00",
    "date_published": "2018-10-16T20:28:31+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/599/galley/360/download/"
        }
    ]
}