Saturday, December 20, 2025

1972–1975: Tiny teenager massively overdosed on Lidocaine

Grok AI illustration
Elise” was an 18-year-old who underwent a legal suction curettage abortion at 10 weeks pregnant in a hospital between 1972 and 1975. She didn’t know that she was about to lose her own life to gross malpractice.

Before the abortionist began, Elise was injected with lidocaine without epinephrine to produce a pudendal and paracervical block. The abortion seemingly proceeded smoothly until it was almost done.

Then Elise went into convulsions not once but twice before going into cardiorespiratory arrest. Even though she was already in a hospital, all efforts to resuscitate her failed.

Elise had no known allergies or other medical conditions that would have caused or explained something like this. She had given birth once before and been fine. An autopsy was conducted to find out what had happened to her, and the results were horrifying.

Though Elise was tiny at less than 95 pounds, she was given 500 mg of lidocaine. This was more than 2 1/2 times the maximum dose recommended by the manufacturer for someone at her weight. In the medical journal that documented her death, the largest dose of epinephrine-free lidocaine that would possibly have been safe for her was calculated to be 194 mg. The packaging for the lidocaine she was given also clearly said that whenever any patient (regardless of weight) was given epinephrine-free lidocaine, they should never receive a dose higher than 300 mg at once.

The lidocaine level detectable in a blood sample after appropriate therapeutic use should be 1.5 ug/ml or less. Elise’s postmortem blood test came back with a level of 5 ug/ml, and it may have been even higher before her death. There is no legitimate medical reason to give anyone a dose of lidocaine high enough to cause that level. Most likely the overdose had either been careless negligence, or Elise was deliberately overdosed so extremely that the abortionist could rush through the operation (similar to Stacy Ruckman, killed by similar malpractice in 1988).

https://www.nejm.org/doi/full/10.1056/NEJM197612162952503

https://pubmed.ncbi.nlm.nih.gov/980095/

(Note: Elise is Patient 2 in both sources)

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