Article

Case report: bupivacaine toxicity with dorsal penile block for circumcision.

Portland , OR, USA.
American family physician (Impact Factor: 1.82). 08/2012; 86(3):222.
Source: PubMed
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    • "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. "
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