Case report: Bupivacaine toxicity with dorsal penile block for circumcision

摘要

to the editor: Approximately 50 percent of males in the United States undergo neonatal circumcision. The most common complication of circumcision is poor cosmesis, but local anesthetic toxicity does rarely occur. Systemic toxicity from local anesthetics manifests as depression of the central nervous system, seizures, and dysrhythmias. We report a case of central nervous system toxicity associated with bupivacaine (Marcaine) dorsal penile block used to facilitate a circumcision.