title: [Seizures and respiratory failure following local anaesthesia administered for circumcision].
abstract: We present two cases in which two boys of four weeks and four and a half months, respectively, experienced seizures and respiratory insufficiency as complications to the local anaesthesia administered for ritual circumcision. They both needed intubation and anticonvulsive therapy and acquired an aspiration pneumonia, which was treated with antibiotics. Both recovered without sequelae. Surgeons should be careful with calculating the maximum safe dose of local anaesthesia for young children and should be prepared to treat complications.
authors.affiliation: Børneafdelingen, Hvidovre Hospital, Kettegård Allé 30, 2650 Hvidovre. ida.louise.heiberg@regionh.dk.
authors.forename: Ida Louise
authors.initials: IL
authors.lastname: Heiberg
authors.forename: Lars
authors.initials: L
authors.lastname: Nebrich
authors.forename: Pernille
authors.initials: P
authors.lastname: Pedersen
mesh_terms: D000779:Anesthetics, Local / Q000009:adverse effects*; D002944:Circumcision, Male; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011015:Pneumonia, Aspiration / Q000139:chemically induced / Q000188:drug therapy; D012131:Respiratory Insufficiency / Q000139:chemically induced* / Q000188:drug therapy; D012640:Seizures / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D000779:Anesthetics, Local