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An uncommon side effect in a common procedure: a case report of an adverse reaction to prilocaine during a Bier's block.

The New Zealand medical journal (2014-12-23)
Gareth Rooke, Charlotte Blau, Ryan Johnstone
ABSTRACT

This case report describes a rare side effect during a Bier's block. During local anaesthetic injection, the patient suffered a sudden onset painful petechial rash localised to the upper limb, distal to the tourniquet, without systemic effect. After deflation of the tourniquet, the pain resolved and no systemic effects were seen. The skin changes settled without treatment over one week. The discussion summarises standard technique and precautions required for a Bier's block. It also evaluates risks and complications.

MATERIALS
Product Number
Brand
Product Description

Sigma-Aldrich
Prilocaine hydrochloride, ≥98% (TLC)
Prilocaine hydrochloride, European Pharmacopoeia (EP) Reference Standard
Sigma-Aldrich
Prilocaine hydrochloride, meets USP testing specifications

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