Institutional Policy Changes to Prevent Cardiac Toxicity Associated With Bupivacaine Penile Blockade in Infants.
A A Case Rep
; 7(3): 71-5, 2016 Aug 01.
Article
en En
| MEDLINE
| ID: mdl-27310901
Dorsal penile nerve block is a widely used method of analgesia for infants undergoing penile surgery. Because of its potency, extended duration of action, and lack of vasoconstriction, bupivacaine remains the most commonly used local anesthetic. Rapid systemic absorption of bupivacaine, however, has been associated with profound central nervous system and cardiovascular side effects, including cardiac arrest. As determined by retrospective medical record analysis, the incidence of complications associated with dorsal penile blockade in our institution was 0.075%. This was significantly higher than previously reported prompting a change in institutional policy that has eliminated penile block complications.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pene
/
Bupivacaína
/
Órdenes de Resucitación
/
Cardiotoxicidad
/
Anestésicos Locales
/
Bloqueo Nervioso
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Ethics
Límite:
Humans
/
Infant
/
Male
Idioma:
En
Revista:
A A Case Rep
Año:
2016
Tipo del documento:
Article
Pais de publicación:
Estados Unidos