Ultrasound Guided Axillary Brachial Plexus Catheter in a Patient with Severe Hemophilia
نویسنده
چکیده
Ultrasound-guidance may help anesthesiologists to perform regional anesthesia in special situations. Bigeleisen reported an uncomplicated infraclavicular block under ultrasound guidance, in a patient having received 5000 U of heparin 2 h before the block [1]. Even if a recent report reminds us that vascular puncture remains still possible during ultrasound guided nerve blocks [2], cases have reported a reduction of this risk using ultrasound. Hemophilia is usually considered as a contra-indication for regional anesthesia. Very few data are available about regional anesthesia in hemophiliacs, and we found only one case that reports the placement of an axillary catheter in a hemophiliac [3]. We report here one case of an uncomplicated continuous axillary catheter placed in a hemophiliac under ultrasound guidance.
منابع مشابه
Ultrasound-guided Continuous Axillary Brachial Plexus Block Using a Nerve Stimulating Catheter: EpiStim® Catheter
Brachial plexus block (BPB) under ultrasound guidance has come to be widely used. However, nerve injury has been reported following ultrasound-guided BPB. We hypothesized that BPB under ultrasound guidance in conjunction with real-time electrical nerve stimulation would help us prevent nerve injury and do more successful procedure. Here, we report the successful induction and maintenance of ult...
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OBJECTIVE In this study we aimed to compare the echogenic needles and the nerve stimulation addition to non-echogenic needles in ultrasound guided axillary brachial plexus block for upper extremity surgery. METHODS 90 patients were enrolled to the study. The patients were allocated into three groups randomly: Group E (n=30): ultrasound guided axillary block using echogenic needle, Group N (n=...
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