Infraclavicular block with ultrasound at amputated upper extremity

KUŞ A., Gurkan Y., Gok C. N., Solak M., Toker K.

AGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGY, vol.22, no.3, pp.134-136, 2010 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 3
  • Publication Date: 2010
  • Journal Name: AGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.134-136
  • Kocaeli University Affiliated: Yes

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.