Anesthesia & Clinical Research
Open Access

Abstract

Lidocaine Infusion for Hemodynamic Stability-A Case Report in a Child with Moyamoya Disease

Daniela Pinho, Carla Cavaleiro, Humberto S Machado

Background and objectives: Hemodynamic stability is crucial during the perioperative management of patients with Moyamoya disease. Several studies have been published about the safety and effectiveness of lidocaine bolus and infusion for hemodynamic stability in adults. Descriptions of lidocaine infusions use in pediatric anesthesia are scarce. We discuss the use of lidocaine in a Moyamoya child.
Case report: We present a case of a 22-month, male child with a suspected Moyamoya disease, scheduled for cerebral and abdominal angiographies. Hemodynamic stability in Moyamoya is crucial during anesthesia to avoid stroke. Evidence exists about the safety and effectiveness of lidocaine in attenuation of stress response to surgery, contributing to hemodynamic stability in adults.
Conclusions: In our case, lidocaine bolus and infusion was safely used in a child and seemed to contribute to his hemodynamic stability. To our knowledge, this case report is the first to describe the use of lidocaine infusion in a Moyamoya child.