Yıl 2015, Cilt 5 , Sayı 1, Sayfalar 31 - 35 2015-03-04

Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management
Üst Ekstremite Periferik Arter Yaralanmalarında Ultrason Eşliğinde Supraklavikuler Blok; Hızlı, Kolay ve Güvenilir Bir Anestezi Yaklaşımı

Mustafa Özgür [1] , Ali Hasde [2] , Ayhan Köseoğlu [3]


Objective: Peripheral artery injures are important conditions which require an emergency response due to high mortality and morbidity. We, therefore, aimed our ultrasound guided supraclavicular block research on 14 patients, who each received emergency surgery for upper extremity peripheral artery lacerations; in conjunction with the literature.

Methods: This study consisted of 14 patients, aged between 17-41 years old, who underwent surgery for upper extremity peripheral artery lacerations at the Antakya State Hospital Cardiovascular Surgery Clinic in 2013 (ASA I-II scores). Ultrasound guided supraclavicular brachial plexus blocks were administered to the patients in the supine position. The patients’ age, sex, height, weight, ASA scores, the localization of the trauma and additional trauma results, block formation time and block administration period were recorded.

Results: The male/female ratio of the cases was 10/4, and radial artery lacerations (50%) were seen most frequently. There was no significant difference between the cases in terms of block formation time and block administration period. The mean block administration period was determined to be 8,45 min, and the mean block formation time was 10,7 min.

 

Conclusion: The most severe complications for supraclavicular blocks are pneumothorax and vascular trauma. There were no complications in any of our cases in the intraoperative or early postoperative period. Consequently, we believe that ultrasound guided brachial plexus blocks can also be administered quickly and safely for peripheral artery lacerations.

 

Amaç: Periferik damar yaralanmaları yüksek mortalite ve morbidite nedeniyle acil müdahale gerektiren önemli bir durumdur. Biz de bu nedenle acil olarak opere edilen üst ekstremite periferik arter kesilerinde 14 olguda ultrason rehberliğinde yaptığımız supraklavikular blok deneyimlerimizi literatür eşliğinde paylaşmayı amaçladık.

Yöntem: 2013 yılında Antakya devlet hastanesi kalp damar cerrahisi kliniği tarafından üst ekstremite periferik arter kesisi nedeniyle opere edilen ASA I-II, 17-41 yaş aralığında 14 hasta değerlendirildi. Hastalara supin pozisyonda ultrason eşliğinde supraklavikuler brakiyal pleksus bloğu uygulandı. Hastaların yaş, cinsiyet, boy, kilo ve ASA skorları, travmanın yeri ve ek travma bulguları blok oluşma zamanı ve blok uygulama süreleri kaydedildi.

Bulgular: Olguların erkek/kadın oranı 10/4 olarak bulunmuştur. Üst ekstremite yaralanma dağılımları incelendiğinde en sık oranda (%50) radial arter kesisi görülmüştür. Blok uygulama süresi ve blok oluşma zamanı olarak olgularda anlamlı fark saptanmamıştır. Blok uygulama süresi ortalama 8,45 dk. blok oluşma zamanı ise ortalama 10,7 dk. olarak bulunmuştur.

Sonuç: Tüm olgularda ultrason eşliğinde supraklavikuler brakiyal pleksus bloğu başarıyla uygulanmıştır. Supraklavikuler blokta en ciddi komplikasyon pnömotoraks ve vasküler travma oluşmasıdır. Olgularımızın hiçbirinde intraoperatif ve erken postoperatif dönemde komplikasyon görülmemiştir. Ultrason eşliğinde uygulanan supraklavikuler brakiyal pleksus bloğu üst ekstremite periferik arter kesilerinde de kolay uygulanabilen güvenli bir anestezi yönetimi sağlamıştır.

 

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Birincil Dil en
Bölüm Orjinal Çalışma
Yazarlar

Yazar: Mustafa Özgür

Yazar: Ali Hasde

Yazar: Ayhan Köseoğlu

Tarihler

Yayımlanma Tarihi : 4 Mart 2015

Bibtex @ { gopctd95730, journal = {Çağdaş Tıp Dergisi}, issn = {}, eissn = {2146-6009}, address = {}, publisher = {Rabia YILMAZ}, year = {2015}, volume = {5}, pages = {31 - 35}, doi = {10.16899/ctd.57811}, title = {Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management}, key = {cite}, author = {Özgür, Mustafa and Hasde, Ali and Köseoğlu, Ayhan} }
APA Özgür, M , Hasde, A , Köseoğlu, A . (2015). Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management. Çağdaş Tıp Dergisi , 5 (1) , 31-35 . DOI: 10.16899/ctd.57811
MLA Özgür, M , Hasde, A , Köseoğlu, A . "Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management". Çağdaş Tıp Dergisi 5 (2015 ): 31-35 <https://dergipark.org.tr/tr/pub/gopctd/issue/7315/95730>
Chicago Özgür, M , Hasde, A , Köseoğlu, A . "Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management". Çağdaş Tıp Dergisi 5 (2015 ): 31-35
RIS TY - JOUR T1 - Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management AU - Mustafa Özgür , Ali Hasde , Ayhan Köseoğlu Y1 - 2015 PY - 2015 N1 - doi: 10.16899/ctd.57811 DO - 10.16899/ctd.57811 T2 - Çağdaş Tıp Dergisi JF - Journal JO - JOR SP - 31 EP - 35 VL - 5 IS - 1 SN - -2146-6009 M3 - doi: 10.16899/ctd.57811 UR - https://doi.org/10.16899/ctd.57811 Y2 - 2019 ER -
EndNote %0 Çağdaş Tıp Dergisi Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management %A Mustafa Özgür , Ali Hasde , Ayhan Köseoğlu %T Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management %D 2015 %J Çağdaş Tıp Dergisi %P -2146-6009 %V 5 %N 1 %R doi: 10.16899/ctd.57811 %U 10.16899/ctd.57811
ISNAD Özgür, Mustafa , Hasde, Ali , Köseoğlu, Ayhan . "Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management". Çağdaş Tıp Dergisi 5 / 1 (Mart 2015): 31-35 . https://doi.org/10.16899/ctd.57811
AMA Özgür M , Hasde A , Köseoğlu A . Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management. J Contemp Med. 2015; 5(1): 31-35.
Vancouver Özgür M , Hasde A , Köseoğlu A . Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management. Çağdaş Tıp Dergisi. 2015; 5(1): 35-31.