title: Axillary block complicated by hematoma and radial nerve injury.
abstract: OBJECTIVE
  Hematoma is typically cited as one mechanism of nerve injury following axillary block. However, documented cases of this are lacking.
  
  
  METHODS
  A healthy 38-year-old man was scheduled for surgical removal of a tumor of the hand. A transarterial axillary block was performed with a 22-gauge short-bevel needle using 40 mL of a mixture of equal volumes of 1.5% lidocaine and 0.5% bupivacaine containing 1:200,000 epinephrine. No paresthesias were reported. Postoperative, the patient developed a large axillary hematoma accompanied by paresthesias and radial nerve weakness.
  
  
  RESULTS
  With conservative management, nerve recovery was complete in 6 months.
  
  
  CONCLUSIONS
  Hematoma complicating axillary block may result in nerve dysfunction.
authors.affiliation: Department of Anesthesia, Herzlia-Haifa (Horev) Medical Center, Israel.
authors.forename: B
authors.initials: B
authors.lastname: Ben-David
authors.forename: S
authors.initials: S
authors.lastname: Stahl
mesh_terms: D000328:Adult; D001365:Axilla / Q000294:innervation*; D006406:Hematoma / Q000150:complications / Q000209:etiology*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000009:adverse effects*; D011826:Radial Nerve / Q000293:injuries*