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Hemodynamic Drug Interaction: Peridural Lidocaine and Intravenous Ephedrine
Authors:L. E. Mather  Ph.D  G. T. Tucker    T. M. Murphy    M. d'A. Stanton-Hicks   J. J. Bonica
Affiliation:Departments of Anesthesiology and Pharmaceutical Sciences, University of Washington School of Medicine, Seattle, Washington;Department of Anesthesiology, University of Massachusetts, Worcester, Massachusetts, U.S.A.;Section of Therapeutics, Academic Division of Medicine, The Royal Infirmary, University of Sheffield, Yorkshire, England
Abstract:Hypotension following peridural anesthesia with lidocaine was treated by intravenous injection of ephedrine. The ephedrine relieved the cardiovascular depression, but was associated with a concomitant increase in plasma lidocaine concentrations. This increase may push the plasma lidocaine concentration into the toxic region.
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