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Our Experience of Transcutaneous Nerve Mapping Guided Bilateral Axillary Block in A Case of Multiple Trauma

Year 2015, Volume: 7 Issue: 3, 1 - 3, 01.12.2015

Emre Kısa Nagihan Gözde Ateş Serkan Tulgar

Abstract

Brachial plexus blockade is a suitable technique for surgery of the forearm, because it offers faster resilience, better analgesia,lesser adverse effects and more patient comfort. Axillary block is the one of the most applied kind of brachial plexus blockades. However, synchronous blockade of both upper extremities has rarely been performed, because systemic toxicity and related complications may be a problem. Our experiences about anesthesia management in a 74 years old patient, with comorbidities, undergone operation by orthopedics, with transcutaneous nerve mapping technique guided bilateral axillary block with neurostimulator are described here under the light of current literatüre.

Keywords

Bilateral axillary block nevre mapping

References

  • Maurer K, Ekatodramis G, Rentsch K, Borgeat A. Interscalene and infraclavicular block for bilateral distal radius fracture. Anesth Analg 2002;94(2):450-452.
  • Franco CD, Salahuddin Z, Rafizad A. Bilateral bra- chial plexus block. Anesth Analg 2004;98(2):518- 520.
  • Yaddanapuddi S. Prevention of Local anesthet- ic systemic toxicity. J Anaesth Clin Pharmacol 2011;27:438–439.
  • Marhofer P, Schrögendorfer K, Wallner T, Koinig H, Mayer N, Kapral S.Ultrasonographic guidance reduces the amount of local anesthetic for 3-in-1 blocks. Reg Anesth Pain Med. 1998;23(6):584- 588.
  • Gürkan Y, Ozdamar D, Hoşten T, Solak M, Tok- er K. Ultrasound guided lateral sagital infra- clavicular block for pectoral flap release. Agri 2009;21(1):39-42.
  • Morgan Jr G. E, Mikhael M.S Lange Klinik Anest- eziyoloji Güneş Tıp Kitabevi 7. Baskı 2011 p.325
  • Sandhu NS, Capan LM. Ultrasound-guided infr- aclavicular brachial plexus block. Br J Anaesth 2002;89(2):254-259
  • Ponde V, Desai AP, Shah D. Comparison of suc- cess rate of ultrasound-guided sciatic and fem- oral nerve block and neurostimulation in chil- dren with arthrogryposis multiplex congenital: a randomized clinical trial. Paediatr Anaesth. 2013;3:74–78.
  • McCartney CJ, Lin L, Shastri U. Evidence basis for the use of ultrasound for upper-extremity blocks. Reg Anesth Pain Med. 2010;35:S10–5.
  • Gelfand HJ, Ouanes JP, Lesley MR, Ko PS, Mur- phy JD, Sumida SM, Isaac GR, Kumar K, Wu CL. Analgesic efficacy of ultrasound-guided region- al anesthesia: a meta-analysis. J Clin Anesth. 2011;23:90–96.
  • Abrahams MS, Aziz MF, Fu RF, Horn JL. Ultrasound guidance compared with electrical neurostim- ulation for peripheral nerve block: a systematic review and meta-analysis of randomized con- trolled trials. Br J Anaesth 2009;102:408–417.
  • Liu SS, Ngeow J, John RS. Evidence basis for ul- trasound-guided block characteristics: onset, quality, and duration. Reg Anesth Pain Med 2010;35:S26–35.
  • 13.Ferrero G, E. Fabbro, D. Orlandi et al. Ultra- sound-guided injection of platelet-rich plasma in chronic Achilles and patellar tendinopathy,” Journal of Ultrasound 2012;15(4): 260–266.
  • 14.Dhir S, L. Tureanu, A. Bouzari, et al. Reduc- tion in sodium content of local anesthetics for peripheral nerve blocks: a comparative evalua- tion of saline with 5% dextrose. Anesth Analg 2012;114: 1359–1364

Multitravmalı Bir Olguda Transkutanöz Sinir Haritalama Tekniğiyle Bilateral Aksiller Blok Deneyimimiz

Year 2015, Volume: 7 Issue: 3, 1 - 3, 01.12.2015

Emre Kısa Nagihan Gözde Ateş Serkan Tulgar

Abstract

Üst ekstremite cerrahilerinde anesteziye bağlı hızlı derlenme, daha az yan etki, daha iyi analjezi ve daha fazla hasta konforu sağlaması nedeniyle brakial pleksus blokları tercih edilmektedir.Aksiller blok en sık uygulanan brakial pleksus bloklarından biridir. Bilateral pleksus blokları sistemik lokal anestezik sistemik toksisitesi ve buna bağlı komplikasyonları nedeniyle uygulayıcılar tarafından nadiren yapılır. Bu yazıda transkutanöz sinir haritalama tekniğiyle nörostimülatör eşliğinde bilateral aksiller blok ile ortopedik cerrahi girişim yapılan, komorbiditeleri olan 74 yaşındaki hastaya ait deneyimlerimiz güncel literatür ışığında sunulmuştur.

Keywords

Bilateral aksiller blok sinir haritalama

References

  • Maurer K, Ekatodramis G, Rentsch K, Borgeat A. Interscalene and infraclavicular block for bilateral distal radius fracture. Anesth Analg 2002;94(2):450-452.
  • Franco CD, Salahuddin Z, Rafizad A. Bilateral bra- chial plexus block. Anesth Analg 2004;98(2):518- 520.
  • Yaddanapuddi S. Prevention of Local anesthet- ic systemic toxicity. J Anaesth Clin Pharmacol 2011;27:438–439.
  • Marhofer P, Schrögendorfer K, Wallner T, Koinig H, Mayer N, Kapral S.Ultrasonographic guidance reduces the amount of local anesthetic for 3-in-1 blocks. Reg Anesth Pain Med. 1998;23(6):584- 588.
  • Gürkan Y, Ozdamar D, Hoşten T, Solak M, Tok- er K. Ultrasound guided lateral sagital infra- clavicular block for pectoral flap release. Agri 2009;21(1):39-42.
  • Morgan Jr G. E, Mikhael M.S Lange Klinik Anest- eziyoloji Güneş Tıp Kitabevi 7. Baskı 2011 p.325
  • Sandhu NS, Capan LM. Ultrasound-guided infr- aclavicular brachial plexus block. Br J Anaesth 2002;89(2):254-259
  • Ponde V, Desai AP, Shah D. Comparison of suc- cess rate of ultrasound-guided sciatic and fem- oral nerve block and neurostimulation in chil- dren with arthrogryposis multiplex congenital: a randomized clinical trial. Paediatr Anaesth. 2013;3:74–78.
  • McCartney CJ, Lin L, Shastri U. Evidence basis for the use of ultrasound for upper-extremity blocks. Reg Anesth Pain Med. 2010;35:S10–5.
  • Gelfand HJ, Ouanes JP, Lesley MR, Ko PS, Mur- phy JD, Sumida SM, Isaac GR, Kumar K, Wu CL. Analgesic efficacy of ultrasound-guided region- al anesthesia: a meta-analysis. J Clin Anesth. 2011;23:90–96.
  • Abrahams MS, Aziz MF, Fu RF, Horn JL. Ultrasound guidance compared with electrical neurostim- ulation for peripheral nerve block: a systematic review and meta-analysis of randomized con- trolled trials. Br J Anaesth 2009;102:408–417.
  • Liu SS, Ngeow J, John RS. Evidence basis for ul- trasound-guided block characteristics: onset, quality, and duration. Reg Anesth Pain Med 2010;35:S26–35.
  • 13.Ferrero G, E. Fabbro, D. Orlandi et al. Ultra- sound-guided injection of platelet-rich plasma in chronic Achilles and patellar tendinopathy,” Journal of Ultrasound 2012;15(4): 260–266.
  • 14.Dhir S, L. Tureanu, A. Bouzari, et al. Reduc- tion in sodium content of local anesthetics for peripheral nerve blocks: a comparative evalua- tion of saline with 5% dextrose. Anesth Analg 2012;114: 1359–1364
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Emre Kısa This is me

Nagihan Gözde Ateş This is me

Serkan Tulgar This is me

Publication Date December 1, 2015
Published in Issue Year 2015 Volume: 7 Issue: 3

Cite

Vancouver Kısa E, Ateş NG, Tulgar S. Multitravmalı Bir Olguda Transkutanöz Sinir Haritalama Tekniğiyle Bilateral Aksiller Blok Deneyimimiz. Maltepe tıp derg. 2015;7(3):1-3.