Fatal streptococcal necrotizing fasciitis as a complication of axillary brachial plexus block
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منابع مشابه
Fatal streptococcal necrotizing fasciitis as a complication of axillary brachial plexus block.
A 74-yr-old diabetic woman developed necrotizing fasciitis of the right upper limb after axillary brachial plexus block for carpal tunnel decompression. Clinical signs included oedema, diffuse swelling and bullae; rapidly followed by toxic shock syndrome and multiorgan failure. The patient died 48 h after hospital admission, despite broad-spectrum antibiotics, surgical treatment and supportive ...
متن کاملAxillary Brachial Plexus Block
The axillary approach to brachial plexus blockade provides satisfactory anaesthesia for elbow, forearm, and hand surgery and also provides reliable cutaneous anaesthesia of the inner upper arm including the medial cutaneous nerve of arm and intercostobrachial nerve, areas often missed with other approaches. In addition, the axillary approach remains the safest of the four main options, as it do...
متن کاملAxillary brachial plexus block: method of choice?
The first brachial plexus block is said to have been performed by William Halsted in 1884 [32], soon after Roller [13] had demonstrated the local anaesthetic properties of cocaine. He injected the drug under direct vision, after exposing the plexus using infiltration anaesthesia. The first percutaneous blocks were performed independently in 1911 by Hirschel [11] and Kulenkampff [14], using the ...
متن کاملHypertensive emergency as a complication of brachial plexus block.
The authors report a case of hypertensive emergency (defined as systolic blood pressure >180 mm Hg and diastolic blood pressure >110 mm Hg with end organ damage) following brachial plexus blockade in a hypertensive lady with unstable angina. The authors describe blocking of baroreceptor reflexes by the local anaesthetic as a putative mechanism and suggest that this potentially serious complicat...
متن کاملUltrasound guided axillary brachial plexus block.
The axillary brachial plexus block is the most widely performed upper limb block. It is relatively simple to perform and one of the safest approaches to brachial plexus block. With the advent of ultrasound technology, there is a marked improvement in the success rate of the axillary block. This review will focus on the technique of ultrasound guided axillary brachial plexus block.
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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 2004
ISSN: 0007-0912
DOI: 10.1093/bja/aeh065