Use of Continuous Brachial Plexus Blockade for Treatment of Accidental Intra-Arterial Injection

Year 2017, Volume: 8 Issue: 2 , 34 - 36 , 01.04.2017

Ayşe Çiğdem Tütüncü Pınar Kendigelen Fatis Altıntaş Güner Kaya

https://izlik.org/JA46DL29GE

Abstract

Introduction: Unintentional intra-arterial injection of drugs has serious problems and morbidity such as pain, ischemia, gangrene, and infection. Aberrant vascularization is a frequent cause of intra-arterial injection.Case Report: We describe a pediatric case of accidental cannulation of aberrant arterial vessel during venous insertion and our brachial plexus block treatment to obtain continuous vasodilatation to prevent ischemic effects.Conclusion: Sympatholysis with peripheral nerve blocks may decrease morbidity providing an additional benefit to pharmacological treatment by increasing blood flow to the tissue after the intra-arterial injection

Keywords

Pediatric , intra-arterial injection , brachial plexus block

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