Does Local Anesthetic Drugs Cause Cardiac Arrest?
IT's REALLY SAFE
THe usual local anesthetic, lidocaine, is removed from the circulation in minutes. To have enough to do anything, more than the amount you are likely to be given has to be injected IV Every Minute!
You won't be getting enough lidocaine to be able to register any effect. Its breakdown products can give a false reading for cocaine in the urine but the blood level might or might not be even barely detectable.
That's the most likely drug. All the other possibilites are also quite safe. There can be epinephrine given with lidocaine as a vasoconstrictor. This is possible. It generally is given to keep the lidocaine AT the skin and not washed away by blood circulation. For scalp procedures, it is mainly used as a vasoconstrictor because scalp cuts bleed a heck of a lot. If the surgeon thinks it is needed I would definitely use it. While stress hormones can actually have an effect when given under the skin, it is quite UNlikely in a 29 year old male that the effect is more than running a couple blocks. And, a lot of scalp bleeding isn't good either.
There are longer acting lidocaine derivatives. I've not seen them used much. While some of it will get into the blood (in lidocaine, it disappears from liver metabolism so fast, it doesn't actually get into the blood at a level enough to do anything). remember that going from an injection site into the whole body causes a HUGE DILUTION. Well over 10 fold lower levels in the blood than at the injection site. Maybe more than a 100 fold dilution. It isn't enough to do anything. The only time I've seen a local anaesthetic MAYBE do something is when it was continually injected (IV during a serious heart arrhythmia and then it was helpful) or continuous injection into the prostate during an operation and it might have caused some confusion, but I doubt it and the other drugs like valium were much more likely the cause.
It is safe.