Hypotension in cath lab, a rare cause…

Sudden onset of hypotension during a procedure makes interventionalist perturbed. In cath lab, hypotension is a red flag sign, and the causes are diverse, ranging from vasovagal, cardiac tamponade, or a significant bleed somewhere, keeping the operators on their toes. We had a similar ordeal recently when a patient developed prolonged hypotension requiring inotrope and vasopressor support after local anesthesia. This case will act as a sensitizer to practitioners and make them more vigilant for the symptoms of toxicity after local anesthetic administration.