Lidocaine efficacy and toxicity assessed by a new, rapid method

Autor: Maria de Guzman, Kevin Buckman, Keith Claiborne, L. Julian Haywood, Clifford B. Walberg
Rok vydání: 1980
Předmět:
Zdroj: Clinical Pharmacology and Therapeutics. 28:177-181
ISSN: 1532-6535
0009-9236
DOI: 10.1038/clpt.1980.147
Popis: Lidocaine (L) levels were measured by gas chromatography (GC) and a new technique of direct measurement by enzyme immunoassay (EMIT) in 50 consecutive patients admitted to the Coronary Care Unit who received L. There was no significant difference between the levels by the two techniques. There was eradication of most ventricular arrhythmias in 78% of patients, partial effectiveness in 16%, and no improvement in 6%. Toxicity was mainly mild central nervous system effects, noted in 26 of the 50 patients. All six patients with serum L above 5.9 microgram/ml had signs of toxicity. EMIT was found to be accurate and much faster than the traditional GC method.
Databáze: OpenAIRE