Document Detail

A complication associated with dorsal penile nerve block.
MedLine Citation:
PMID:  2291887     Owner:  NLM     Status:  MEDLINE    
A case describing a 2-day-old term male infant who received a dorsal penile nerve block (DNPB) prior to circumcision, inadvertently with 1:1000 epinephrine, is presented. The patient had a brief hemodynamic response followed by profound vasoconstriction and ischemia of the genitalia. A caudal catheter was inserted and a sympathetic block established in an attempt to antagonize the epinephrine-induced vasoconstriction. The patient's condition improved and no residual effects of the ischemia were noted. A review of complications associated with DNPB and of epinephrine-induced penile ischemia is briefly discussed.
R Berens; S P Pontus
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia     Volume:  15     ISSN:  0146-521X     ISO Abbreviation:  Reg Anesth     Publication Date:    1990 Nov-Dec
Date Detail:
Created Date:  1991-04-11     Completed Date:  1991-04-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7707549     Medline TA:  Reg Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  309-10     Citation Subset:  IM    
Department of Anesthesiology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee 53201.
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MeSH Terms
Circumcision, Male*
Constriction, Pathologic / chemically induced
Epinephrine / adverse effects*
Infant, Newborn
Ischemia / chemically induced*
Nerve Block*
Penis / blood supply,  innervation*
Reg. No./Substance:

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