Late Local Anaesthetic Toxicity After Infraclavicular Block Procedure.
نویسندگان
چکیده
Local anaesthetic (LA) toxicity is the most fatal complication of peripheral nerve block techniques. Accidental intravascular application or use of doses above the safety range are the most common cause of toxicity. Bupivacaine is a long-acting LA frequently used for long procedures or those associated with significant post-procedural pain. Fatal central nervous system and cardiovascular system toxicity are described. In this paper, we reported a young patient who showed LA toxicity symptoms 7 h after an infraclavicular peripheral block.
منابع مشابه
Ultrasound-guided infraclavicular brachial plexus block.
BACKGROUND Peripheral nerve blocks are almost always performed as blind procedures. The purpose of this study was to test the feasibility of seeing individual nerves of the brachial plexus and directing the block needle to these nerves with real time imaging. METHODS Using ultrasound guidance, infraclavicular brachial plexus block was performed in 126 patients. Important aspects of this stand...
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Editor’s key points † The hypothesis tested was that the addition of distal nerve blocks to an infraclavicular block would speed up onset. † Infraclavicular block with or without distal blocks of the median, ulnar, and radial nerves were compared using the same total dose of local anaesthetic. † A more rapid onset and more consistent block occurred in the combined group. Background. This prospe...
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Aims and background: The infraclavicular nerve block as a method for anesthesia or analgesia in upper extremities that can be performed under guide of nerve stimulation or ultrasound. One of the adverse reaction to this method is the local anesthetic systemic toxicity that has been decreased when using the ultrasound to avoid intravascular injection. Case report: This case report explains a...
متن کاملUnusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
We present a case of unexpectedly prolonged motor and sensory block following a successful single injection ultrasound - guided infraclavicular block with bupivacaine (0.25%) and dexamethasone (8 mg). ultrasound guidance and safety measurement such as injection of the local anaesthetic at a slow rate and verifying that usual resistance was felt throughout the injection, has been applied. It too...
متن کاملUltrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery
Background: Opioids added to local anesthetics for peripheral nerve blocks may intensify analgesia and prolong analgesic and sensorial block duration. These agents may also cause potentiation and prolongation of motor block. Objective: This study compared the postoperative effects of 30 mL of 0.25% bupivacaine +50 mcg fentanyl and 30 mL of 0.25% bupivaca...
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ورودعنوان ژورنال:
- Turkish journal of anaesthesiology and reanimation
دوره 43 3 شماره
صفحات -
تاریخ انتشار 2015