[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: Ida Louise Heiberg, Lars Nebrich, Pernille Pedersen
• Journal: Ugeskrift for laeger (Ugeskr Laeger) Vol. 177 Issue 27 (Jun 29 2015) ISSN: 1603-6824 [Electronic] Denmark
• Vernacular Title: Universelle kramper og respirationsstop som komplikation i forbindelse med lokalanalgesi ved circumcision.
• PMID: 26239736 (Publication Type: Case Reports)

Chemical References

• Anesthetics, Local

Topics

• Anesthetics, Local (adverse effects)
• Circumcision, Male
• Humans
• Infant
• Infant, Newborn
• Male
• Pneumonia, Aspiration (chemically induced, drug therapy)
• Respiratory Insufficiency (chemically induced, drug therapy)
• Seizures (chemically induced, drug therapy)