[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.
Service d'Anesthésiologie, Centre Hospitalier, Chalon-sur-Saône.
J P
JP
Racle
L
L
Jourdren
A
A
Benkhadra
J Y
JY
Poy
F
F
Fockenier
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.