Successful Management of Hypotension Induced by Low Intracranial Pressure with Intravenous Administration of Lidocaine

Abstract

A man suffered severe hypotension down to 20~30 mmHg when he received a surgical remove of glioma. This hypotension was hard to treat with many ways due to the blood pressure did not show any response to many vasoconstrictors, such as: adrenaline, norepinephrine, dopamine, and Aramine etc. A rapid injection of lidocaine 200 mg from right femoral vessel showed an efficient effect on promoting blood pressure when combined with other vasoconstrictors.