[Lidocaine intoxication in newborn following maternal pudendal anesthesia: report of three cases]. / Intoxication néonatale à la lidocaïne après analgésie par bloc des nerfs honteux: à propos de trois observations.
J Gynecol Obstet Biol Reprod (Paris)
; 37(4): 415-8, 2008 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-18406071
ABSTRACT
Pudendal nerve block may be indicated during instrumental delivery in situations where peridural anesthesia is unavailable. We report three cases of neonatal lidocaine intoxication following maternal pudendal block during delivery. Clinical features were hypotonia, pupillary mydriasis fixed to light, apnea, cyanosis and seizures. Two neonates required mechanical ventilation. Lidocaine was found in the serum of two babies. In all three cases, recovery was complete. The pharmacokinetics of lidocaine in a highly vascularized perineum during labor increase the risk of neonatal intoxication. A possible intoxication by local anesthetics should be considered in neonates presenting an acute distress in the delivery room.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Anestesia Obstétrica
/
Anestésicos Locais
/
Lidocaína
Limite:
Female
/
Humans
/
Male
/
Newborn
/
Pregnancy
Idioma:
Fr
Revista:
J Gynecol Obstet Biol Reprod (Paris)
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
França