title: [Anesthesia and analgesia in intravenous drug dependent patients with injection abscesses of the upper extremity. Case report].
abstract: The morbidity and mortality rate of drug addicts is characteristically higher than in a normal population. Especially abscesses of the hand and the forearm region are frequent consequences of unsterile injection techniques. Pre-, intra-, and postoperative anaesthetic management has to take into consideration that the choice of the anaesthetic procedure should not interfere with the very special conditions of the drug addicts. In our experience, continuous axillary brachial plexus block offers a number of advantages in pain management in drug addicts as well as in former drug addicts.
authors.affiliation: Berufsgenossenschaftlichen Unfallklinik Tübingen.
authors.forename: B
authors.initials: B
authors.lastname: Ebert
authors.forename: J
authors.initials: J
authors.lastname: Ganser
mesh_terms: D000038:Abscess / Q000601:surgery*; D000328:Adult; D000765:Anesthesia, Conduction; D001917:Brachial Plexus / Q000187:drug effects; D002045:Bupivacaine / Q000008:administration & dosage; D003042:Cocaine; D005041:Etidocaine; D005260:Female; D006225:Hand / Q000601:surgery*; D006801:Humans; D008619:Mepivacaine; D008691:Methadone / Q000627:therapeutic use; D010149:Postoperative Pain / Q000188:drug therapy; D013290:Streptococcal Infections / Q000601:surgery*; D015819:Substance Abuse, Intravenous / Q000534:rehabilitation*; D019966:Substance-Related Disorders / Q000534:rehabilitation*
chemical_list: D008619:Mepivacaine; D003042:Cocaine; D005041:Etidocaine; D008691:Methadone; D002045:Bupivacaine
vernacular_title: Anästhesie und Analgesie bei intravenösen Drogenabhängigen mit Spritzenabszessen an der oberen Extremität. Fallbericht.