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[Severe local anesthetic intoxication in an infant undergoing circumcision]
E Doye1, F-P Desgranges2, D Stamm1
1Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.
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.