Case report: Bupivacaine toxicity with dorsal penile block for circumcision

Portland , OR, USA.
American family physician (Impact Factor: 2.18). 08/2012; 86(3):222.
Source: PubMed
8 Reads
  • Source
    • "La prévalence est difficilement estimable car les circoncisions sont très souvent réalisées hors d'un milieu hospitalier par des médecins ou d'autres intervenants. Les cas d'intoxication aux anesthésiques locaux décrits au cours de circoncisions réalisées sous anesthésie locale ou locorégionale sont rares [3] [4] [5], notamment hors du milieu hospitalier. Les signes cliniques neurologiques (troubles sensitifs , crises convulsives, troubles de la conscience, coma) précèdent classiquement les signes cardiaques (troubles du rythme et de la conduction, altération de la fonction ventriculaire , arrêt cardiorespiratoire) et surviennent entre 5 et 30 minutes après l'injection. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Local anesthetic intoxication is an uncommon complication of regional anesthesia. We report the case of a 4-month-old infant who presented with generalized tonic-clonic seizure complicated by cardiac arrest secondary to a severe intoxication to local anesthesia. These complications were observed after a bilateral dorsal penile nerve block with lidocaine for circumcision in a non-hospital setting. This report emphasizes the potential risk of local anesthetic systemic toxicity in such circumstances and describes its treatment. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
    Archives de Pédiatrie 11/2014; 22(3). DOI:10.1016/j.arcped.2014.10.023 · 0.41 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Pediatric patients often undergo anesthesia for ambulatory procedures. This article discusses several common preoperative dilemmas, including whether to postpone anesthesia when a child has an upper respiratory infection, whether to test young women for pregnancy, which children require overnight admission for apnea monitoring, and the effectiveness of nonpharmacological techniques for reducing anxiety. Medication issues covered include the risks of anesthetic agents in children with undiagnosed weakness, the use of remifentanil for tracheal intubation, and perioperative dosing of rectal acetaminophen. The relative merits of caudal and dorsal penile nerve block for pain after circumcision are also discussed.
    Anesthesiology Clinics 06/2014; 32(2). DOI:10.1016/j.anclin.2014.02.002


8 Reads
Available from
Oct 10, 2014