[A rare complication of regional anesthesia].
A prolonged blockade of the brachial plexus by a subclavicular approach was performed in a 22-year-old patient with combined trauma and severe pain in the left arm. The administration of 20 ml of a 0.3% dicaine solution through a catheter led to spinal anesthesia accompanied by the development of transient hemodynamic and respiration disturbances, which were arrested without medication or controlled lung ventilation. A possible reason for this complication is traumatic plexitis. When performing a blockade of the brachial plexus one should administer a test dose of an anesthetic prior to the entire drug dosage.
Vagner
E A
EA
Matveev
A T
AT
Zaugol'nikov
V S
VS
D000328:Adult; D001134:Arm Injuries / Q000150:complications*; D001917:Brachial Plexus; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000009:adverse effects*; D010146:Pain / Q000209:etiology*; D013748:Tetracaine / Q000009:adverse effects*
D013748:Tetracaine
Redkoe oslozhnenie regionarnoĭ anestezii.