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Case Reports
. 2000 Jul-Aug;25(4):424-7.
doi: 10.1053/rapm.2000.7594.

Circumcision supplemented by dorsal penile nerve block with 0.75% ropivacaine: a complication

D Burke  1 , V Joypaul, M F Thomson
Affiliations
Case Reports

Circumcision supplemented by dorsal penile nerve block with 0.75% ropivacaine: a complication

D Burke et al. Reg Anesth Pain Med. 2000 Jul-Aug.

Abstract

Background and objectives: Dorsal penile nerve block is a common procedure and can provide effective analgesia after penile surgery. Ischemic complications are rare and generally result from trauma or inadvertent administration of vasoconstrictive solutions.

Case report: We describe a period of temporary ischemia of the glans penis occurring 40 minutes after dorsal penile nerve block with 0.75% ropivacaine. This was successfully treated with an intravenous infusion of iloprost (a PGI2 analogue), and at 43 hours appearances were normal.

Conclusion: Theoretical concerns over the vasoconstrictive properties of ropivacaine may be sufficient to avoid its use where the potential for ischemia to end organs is present.

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Comment in

  • Vasoactivity of ropivacaine.
    Jansson JR. Jansson JR. Reg Anesth Pain Med. 2008 Jan-Feb;33(1):90-1; author reply 91-2. doi: 10.1016/j.rapm.2007.08.011. Reg Anesth Pain Med. 2008. PMID: 18155065 No abstract available.

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