Continuous brachial plexus blockade. A technique that uses an axillary catheter to allow successful skin grafting.
An 82-year-old woman sustained a full thickness burn of her hand. A technique for producing anaesthesia of the brachial plexus via an indwelling catheter is described. Confirmation of the catheter position was obtained by X ray. Bupivacaine was infused via the catheter after operation to produce immobilisation of the hand to ensure multiple skin grafts would take. Consequent with this goal was excellent postoperative analgesia.
Randalls
B
B
Hammersmith Hospital, London.
D000368:Aged; D000369:Aged, 80 and over; D001365:Axilla; D001917:Brachial Plexus; D002045:Bupivacaine / Q000008:administration & dosage; D002056:Burns / Q000601:surgery*; D002408:Catheters, Indwelling; D003646:Debridement; D005260:Female; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D009407:Nerve Block / Q000379:methods; D016038:Skin Transplantation
D002045:Bupivacaine