title: [Severe local anesthetic intoxication in an infant undergoing circumcision].
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.
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.
authors.forename: E
authors.initials: E
authors.lastname: Doye
authors.affiliation: 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: fp_desgranges@yahoo.fr.
authors.forename: F-P
authors.initials: FP
authors.lastname: Desgranges
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.
authors.forename: D
authors.initials: D
authors.lastname: Stamm
authors.affiliation: Service d'anesthésie pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.
authors.forename: M
authors.initials: M
authors.lastname: de Queiroz
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.
authors.forename: F V
authors.initials: FV
authors.lastname: Valla
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.
authors.forename: E
authors.initials: E
authors.lastname: Javouhey
mesh_terms: D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000506:poisoning*; D002675:Child, Preschool; D002944:Circumcision, Male; D004830:Epilepsy, Tonic-Clonic / Q000139:chemically induced*; D006323:Heart Arrest / Q000139:chemically induced*; D006801:Humans; D008012:Lidocaine / Q000506:poisoning*; D008297:Male; D009407:Nerve Block / Q000009:adverse effects*; D012720:Severity of Illness Index
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine