title: [Therapeutic regional anesthesia following an accidental intra-arterial injection. A case report on anesthesiologic care following incorrect injection of Reparil (sodium escinate)].
abstract: Symptomatology and therapeutic measures after accidental brachial intra-arterial injection of sodium escinate were explained by means of a case report. We obtained long-acting analgesia and sympathicolysis in the upper extremity by an anaesthesia of the ganglion stellatum followed by repeated interscalene plexus brachialis blockade. Even in very severe cases of accidental intra-arterial drug injection surgical procedures should be accompanied with therapeutic regional anaesthesia technics.
mesh_terms: D000328:Adult; D000765:Anesthesia, Conduction; D001917:Brachial Plexus; D004928:Escin / Q000008:administration & dosage* / Q000009:adverse effects; D005542:Forearm / Q000601:surgery*; D006801:Humans; D007269:Injections, Intra-Arterial; D009407:Nerve Block; D012503:Saponins / Q000008:administration & dosage*
chemical_list: D012503:Saponins; D004928:Escin
vernacular_title: Therapeutische Regionalanaesthesie nach irrtümlicher intraarterieller Injektion. Ein Fallbericht zur anaesthesiologischen Betreuung nach Fehlinjektion von Reparil (Natriumaescinat).