Pediatric Toxidrome Simulation Curriculum: Lidocaine-Induced Methemoglobinemia.

ABSTRACT:

Introduction

Lidocaine is a common local anesthetic used during minor procedures performed on pediatric patients. A rare but toxic and life-threatening side effect of lidocaine is methemoglobinemia. It should be considered in children who are hypoxic after exposure to an oxidizing agent.

Methods

We developed this simulation case for pediatric emergency medicine (PEM) fellows, but it can be adapted for interprofessional simulation. The case involved a 1-month-old male with hypoxia and resulting central cyanosis after exposure to lidocaine. The team performed an initial evaluation and intervention, collected a history, and developed a differential diagnosis for hypoxia and central cyanosis in an infant. Methemoglobinemia was confirmed by CO-oximetry. Preparatory materials, a d

SUBMITTER: Rosso CD 

PROVIDER: S-EPMC7842087 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature