[Severe local anesthetic intoxication in an infant undergoing circumcision]

E Doye; F-P Desgranges; D Stamm; M de Queiroz; F V Valla; E Javouhey

doi:10.1016/j.arcped.2014.10.023

[Severe local anesthetic intoxication in an infant undergoing circumcision]

Arch Pediatr. 2015 Mar;22(3):303-5. doi: 10.1016/j.arcped.2014.10.023. Epub 2014 Nov 15.

[Article in French]

Authors

E Doye¹, F-P Desgranges², D Stamm¹, M de Queiroz³, F V Valla¹, E Javouhey¹

Affiliations

¹ Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.
² Service d'anesthésie pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France. Electronic address: [email protected].
³ Service d'anesthésie pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.

PMID: 25482996
DOI: 10.1016/j.arcped.2014.10.023

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.

Publication types

Case Reports
English Abstract

MeSH terms

Anesthesia, Local / adverse effects*
Anesthetics, Local / poisoning*
Child, Preschool
Circumcision, Male*
Epilepsy, Tonic-Clonic / chemically induced*
Heart Arrest / chemically induced*
Humans
Lidocaine / poisoning*
Male
Nerve Block / adverse effects*
Severity of Illness Index

Substances

Anesthetics, Local
Lidocaine