[Failure of an intravenous locoregional anesthesia in a hypertensive patient].
A case is reported of a congested arm occurring during intravenous regional anaesthesia with a double cuff tourniquet in a female elderly patient suffering from hypertension. The proximal cuff was apparently inflated adequately to 300 mmHg. Recent studies showed that the use of only the proximal tourniquet was associated with a risk of venous leakage. In elderly hypertensive patients, when intravenous regional anaesthesia was necessary, one would be justified in inflating the two cuffs before injection of the local anaesthetic.
Racle
J P
JP
Service d'Anesthésiologie, Centre Hospitalier, Chalon-sur-Saône.
Jourdren
L
L
Benkhadra
A
A
Poy
J Y
JY
Fockenier
F
F
D000368:Aged; D000771:Anesthesia, Intravenous / Q000009:adverse effects* / Q000379:methods; D001132:Arm; D004487:Edema / Q000209:etiology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008012:Lidocaine / Q000008:administration & dosage*; D014111:Tourniquets / Q000009:adverse effects
D008012:Lidocaine
Echec d'une anesthésie locorégionale intraveineuse chez une hypertendue.