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

Jemea Bonaventure; Nga Nomo Serge; Iroume Cristella; Kuitchet Aristide; Djomo Tamchom Dominique; Binyom Pierre René; Nkoumou Samson

doi:10.18502/aacc.v8i4.10186

Jemea Bonaventure Faculty of Medicine and Biomedical Sciences, Department of Anesthesia and Intensive Care, Yaounde University Hospital Center, University of Yaoundé 1, Yaounde, Cameroon.
Nga Nomo Serge Higher Institute of Medical Technology, Department of Anesthesia, Intensive Care and Emergency Medicine, Yaounde-Essos Hospital Center, University of Douala, Douala, Cameroon.
Iroume Cristella Faculty of Medicine and Biomedical Sciences, Department of Anesthesia and Intensive Care, Yaounde University Hospital Center, University of Yaoundé 1, Yaounde, Cameroon.
Kuitchet Aristide Faculty of Medicine and Biomedical Sciences, Department of Anesthesia And Intensive Care, Maroua Regional Hospital, University of Ngaoundere, Ngaoundere, Cameroon.
Djomo Tamchom Dominique Faculty of Health Sciences, Departement of Anesthesia and Intensive Care, University of Buea, Gyneco-Obstetric Hospital of Douala, Douala, Cameroon.
Binyom Pierre René Higher Institute of Medical Technology, Department of Anesthesia, Intensive Care and Emergency Medicine, Yaounde-Essos Hospital Center, University of Douala, Douala, Cameroon.
Nkoumou Samson Faculty of Health Sciences, Departement of Anesthesia and Intensive Care, University of Buea, Gyneco-Obstetric Hospital of Douala, Douala, Cameroon.

DOI: https://doi.org/10.18502/aacc.v8i4.10186

Keywords: Necrosis of the right hallux; Local anesthesia; Adrenaline; Preventable complication

Abstract

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.