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, cilt.22, ss.134-136, 2010 (ESCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 22 Konu: 3
  • Basım Tarihi: 2010
  • Dergi Adı: AGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGY
  • Sayfa Sayıları: ss.134-136

Özet

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.