Necrosis of the Right Hallux Secondary to Local Anesthesia by Lidocaine 2% with Adrenaline: A Rare and Preventable Complication

Autor: Jemea Bonaventure, Nga Nomo Serge, Iroume Cristella, Kuitchet Aristide, Djomo Tamchom Dominique, Binyom Pierre René, Nkoumou Samson
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Archives of Anesthesia and Critical Care, Vol 8, Iss 4 (2022)
Druh dokumentu: article
ISSN: 2423-5849
DOI: 10.18502/aacc.v8i4.10186
Popis: Recent scientific studies support the safe use of lidocaïne with adrenaline for anesthesia of the extremities (fingers, toes, nose, ear, penis), these studies push back the myth that advises against the use of local anesthetic substances with adrenaline in these areas [1-3]. Ingrown toenail is a common condition of the big toe. Surgery is often necessary. Ingrown toenail surgery is relatively straightforward and is usually performed under local anesthesia [3]. We report here a rare case of hallux necrosis secondary to local anesthesia by lidocaine 2% with adrenaline. The objective of this presentation is to warn practitioners about the observance of precautions before using local anesthetics with adrenaline for anesthetic procedures of the extremities.
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