BibTex RIS Kaynak Göster

Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management

Yıl 2015, Cilt: 5 Sayı: 1, 31 - 35, 04.03.2015
https://doi.org/10.16899/ctd.57811

Öz

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.

 

Kaynakça

  • Weaaves FA, Hood DB, Yelkin AE. Vasculer injuries of the extremities, In: Rutherford RB, ed. Vasculer surgery, Philadelphia: Sounders Company. 2000;862-72.
  • De Silya W, Ubayasiri R. Challenges in the management of the extremity vasculer injuries: A wortine experience from a tertiory centre in Sri Lanka. World J Emerg Surg. 2011;10:6-24
  • Valentin N, Lomholt B, Jensen JS, Hejgaard N, Kreiner S. Spinal or general anaesthesia for surgery of the fractured hip? A prospective study of mortality in 578 patients. Br J Anaesth 1986;58: 284-91.
  • Liu SS, Ngeow JE, Yadeau JT. Ultrasound-guided regional anesthesia and analgesia: a qualitative systematic review. Reg Anesth Pain Med. 2009; 34: 47-59.
  • Chan VW, Perlas A, Rawson R, Odukoya O. Ultrasound –guided supraclavicular brachial plexus block. Anesth Analg. 2003; 97: 1514-17
  • Sandhu NS, Capan LM. Ultrasound-guided infraclavicular brachial plexus block. Br J Anaesth 2002;89(2):254-59.
  • Perlas A, Lobo G, Lo N, Brull R, Chan V W.S, Karkhanis R. Ultrasound-guided supraclavicular block: outcome of 510 consecutive cases. Reg Anesth Pain Med. 2009;34(2):171-76.
  • Zetlaoui PJ, Labbe JP, Benhamou D. Ultrasound guidance for axillary plexus block does not prevent intravascular injection. Anesthesiology. 2008;108(4):761.
  • Loubert C, Williams SR, Helie F, Arcand G. Complication during ultrasound-guided regional block: accidental intravascular injection of local anesthetic. Anesthesiology. 2008;108(4):759-60.
  • Li T, Ye XH, Nan Y,Shi T,Ye QG, Ma JF et al. Comparison of ultrasound and nerve stimulation techniques for brachial plexus block for regional hemodynamic changes of upper extremity. Zhonghua Yi Xue Za Zhi. 2013;93(3):187-90
  • Franco CD, Vieira ZE. 1,001 subclavian perivascular brachial plexus blocks: success with a nerve stimulator. Reg Anesth Pain Med 2000;25(1):41-46.
  • Koscielniak-Nielsen ZJ, Frederiksen BS, Rasmussen H, Hesselbjerg L. A comparison of ultrasound-guided supraclavicular and infraclavicular blocks for upper extremity surgery. Acta Anaesthesiol Scand 2009;53(5):620-26.
  • Chan VW, Perlas A, Rawson R, Odukoya O. Ultrasound guided supraclavicular brachial plexus block. Anesth Analg 2003;97(5):1514-17.
  • Gürkan Y, Hoşten T, Tekin M, Acar S, Solak M,Toker K. Brakiyal pleksus bloğunda ultrason eşliğinde supraklavikuler ve infraklavikuler yaklaşımın karşılaştırılması. Ağrı. 2012;24(4):159-64
  • Arcand G, Williams SR, Chouinard P, Boudreault D, Harris P, Ruel M, et al. Ultrasound-guided infraclavicular versus supraclavicular block. Anesth Analg 2005;101(3):886-90.

Üst Ekstremite Periferik Arter Yaralanmalarında Ultrason Eşliğinde Supraklavikuler Blok; Hızlı, Kolay ve Güvenilir Bir Anestezi Yaklaşımı

Yıl 2015, Cilt: 5 Sayı: 1, 31 - 35, 04.03.2015
https://doi.org/10.16899/ctd.57811

Öz

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.

 

Kaynakça

  • Weaaves FA, Hood DB, Yelkin AE. Vasculer injuries of the extremities, In: Rutherford RB, ed. Vasculer surgery, Philadelphia: Sounders Company. 2000;862-72.
  • De Silya W, Ubayasiri R. Challenges in the management of the extremity vasculer injuries: A wortine experience from a tertiory centre in Sri Lanka. World J Emerg Surg. 2011;10:6-24
  • Valentin N, Lomholt B, Jensen JS, Hejgaard N, Kreiner S. Spinal or general anaesthesia for surgery of the fractured hip? A prospective study of mortality in 578 patients. Br J Anaesth 1986;58: 284-91.
  • Liu SS, Ngeow JE, Yadeau JT. Ultrasound-guided regional anesthesia and analgesia: a qualitative systematic review. Reg Anesth Pain Med. 2009; 34: 47-59.
  • Chan VW, Perlas A, Rawson R, Odukoya O. Ultrasound –guided supraclavicular brachial plexus block. Anesth Analg. 2003; 97: 1514-17
  • Sandhu NS, Capan LM. Ultrasound-guided infraclavicular brachial plexus block. Br J Anaesth 2002;89(2):254-59.
  • Perlas A, Lobo G, Lo N, Brull R, Chan V W.S, Karkhanis R. Ultrasound-guided supraclavicular block: outcome of 510 consecutive cases. Reg Anesth Pain Med. 2009;34(2):171-76.
  • Zetlaoui PJ, Labbe JP, Benhamou D. Ultrasound guidance for axillary plexus block does not prevent intravascular injection. Anesthesiology. 2008;108(4):761.
  • Loubert C, Williams SR, Helie F, Arcand G. Complication during ultrasound-guided regional block: accidental intravascular injection of local anesthetic. Anesthesiology. 2008;108(4):759-60.
  • Li T, Ye XH, Nan Y,Shi T,Ye QG, Ma JF et al. Comparison of ultrasound and nerve stimulation techniques for brachial plexus block for regional hemodynamic changes of upper extremity. Zhonghua Yi Xue Za Zhi. 2013;93(3):187-90
  • Franco CD, Vieira ZE. 1,001 subclavian perivascular brachial plexus blocks: success with a nerve stimulator. Reg Anesth Pain Med 2000;25(1):41-46.
  • Koscielniak-Nielsen ZJ, Frederiksen BS, Rasmussen H, Hesselbjerg L. A comparison of ultrasound-guided supraclavicular and infraclavicular blocks for upper extremity surgery. Acta Anaesthesiol Scand 2009;53(5):620-26.
  • Chan VW, Perlas A, Rawson R, Odukoya O. Ultrasound guided supraclavicular brachial plexus block. Anesth Analg 2003;97(5):1514-17.
  • Gürkan Y, Hoşten T, Tekin M, Acar S, Solak M,Toker K. Brakiyal pleksus bloğunda ultrason eşliğinde supraklavikuler ve infraklavikuler yaklaşımın karşılaştırılması. Ağrı. 2012;24(4):159-64
  • Arcand G, Williams SR, Chouinard P, Boudreault D, Harris P, Ruel M, et al. Ultrasound-guided infraclavicular versus supraclavicular block. Anesth Analg 2005;101(3):886-90.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Orjinal Çalışma
Yazarlar

Mustafa Özgür

Ali Hasde Bu kişi benim

Ayhan Köseoğlu Bu kişi benim

Yayımlanma Tarihi 4 Mart 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 5 Sayı: 1

Kaynak Göster

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. 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. Mart 2015;5(1):31-35. doi:10.16899/ctd.57811
Chicago Özgür, Mustafa, Ali Hasde, ve Ayhan Köseoğlu. “Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; A Fast, Easy and Safe Anaesthetic Management”. Çağdaş Tıp Dergisi 5, sy. 1 (Mart 2015): 31-35. https://doi.org/10.16899/ctd.57811.
EndNote Özgür M, Hasde A, Köseoğlu A (01 Mart 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.
IEEE M. Özgür, A. Hasde, ve A. Köseoğlu, “Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; a Fast, Easy and Safe Anaesthetic Management”, J Contemp Med, c. 5, sy. 1, ss. 31–35, 2015, doi: 10.16899/ctd.57811.
ISNAD Özgür, Mustafa vd. “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.
JAMA 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;5:31–35.
MLA Özgür, Mustafa vd. “Ultrasound Guided Supraclavicular Block for Upper Extremity Peripheral Artery Lacerations; A Fast, Easy and Safe Anaesthetic Management”. Çağdaş Tıp Dergisi, c. 5, sy. 1, 2015, ss. 31-35, doi:10.16899/ctd.57811.
Vancouver 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):31-5.