1. [Infraclavicular block with ultrasound at amputated upper extremity].
- Author
-
Kuş A, Gürkan Y, Gök CN, Solak M, and Toker K
- Subjects
- Adult, Amputation Stumps diagnostic imaging, Anesthetics, Local therapeutic use, Bupivacaine analogs & derivatives, Bupivacaine therapeutic use, Debridement methods, Electric Stimulation, Epinephrine therapeutic use, Humans, Levobupivacaine, Lidocaine therapeutic use, Male, Ultrasonography, Interventional methods, Amputation Stumps surgery, Arm surgery, Nerve Block
- Abstract
When ultrasound (US) is used in peripheric nerve blocks, successful nerve blocks can be performed even if nerve stimulation is not possible. In this case report, we present a 37-year-old male patient, ASA physical status I, undergoing debridement and grafting for incomplete arm whose upper extremity (forearm) was amputated due to electric shock; motor response to nerve stimulation was not possible. With the help of US, lateral sagittal infraclavicular block was performed with 20 ml local anesthetic mixture (10 ml of 0.5% levobupivacaine and 10 ml 2% lidocaine with 5 mcg/ml epinephrine). After 20 minutes, the patient was ready for surgery and the operation was performed successfully.
- Published
- 2010