title: An uncommon side effect in a common procedure: a case report of an adverse reaction to prilocaine during a Bier's block.
abstract: This case report describes a rare side effect during a Bier's block. During local anaesthetic injection, the patient suffered a sudden onset painful petechial rash localised to the upper limb, distal to the tourniquet, without systemic effect. After deflation of the tourniquet, the pain resolved and no systemic effects were seen. The skin changes settled without treatment over one week. The discussion summarises standard technique and precautions required for a Bier's block. It also evaluates risks and complications.
authors.affiliation: Department of Orthopaedic Surgery, Christchurch Public Hospital, Riccarton Avenue, Christchurch 8011, New Zealand.
authors.forename: Gareth
authors.initials: G
authors.lastname: Rooke
authors.forename: Charlotte
authors.initials: C
authors.lastname: Blau
authors.forename: Ryan
authors.initials: R
authors.lastname: Johnstone
mesh_terms: D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D003875:Drug Eruptions / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects*; D011318:Prilocaine / Q000008:administration & dosage / Q000009:adverse effects*; D011693:Purpura / Q000139:chemically induced*; D011885:Radius Fractures / Q000601:surgery
chemical_list: D000779:Anesthetics, Local; D011318:Prilocaine