[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.

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.

How does the European common lizard, Lacerta vivipara, survive the cold of winter?

Although the European common lizard, Lacerta vivipara, is among the most common Eurasian reptile species, we know little about how these lizards cope with very low temperatures. In this study we examined microenvironmental conditions, body temperature, behavior, and cold strategies to see whether strategies of freezing and supercooling, while normally considered to be mutually exclusive, may in fact be adopted simultaneously by the common lizard. Following up on an earlier study of a lowland population, this time we used a mountain population (850 m) to discover differences in overwintering strategies between the two populations. Differential scanning calorimetry conducted during the hibernation period (vs. the activity period) showed that the blood of highland lizards had an increased ability to resist ice formation, confirming an ecophysiological effect most likely mediated by physical properties of the blood. Mean blood glucose level of unfrozen L. vivipara in the field increased significantly (about fourfold) from 8.5+/-0.7 mmol l(-1) in September to 33.2+/-5.6 mmol l(-1) in March. The blood glucose level then experienced a significant decline as it fell to 6. 2+/-0.8 mmol l(-1) after hibernation in April. Glucose, in conclusion, seems to play a role of cryoprotectant rather than antifreeze.