[Corrective osteotomy of the humerus using perivascular axillary anesthesia according to Weber in a patient suffering from McCune-Albright syndrome].
We report on a 20-year-old patient with McCune-Albright syndrome suffering from global respiratory insufficiency who required continuous mask ventilation and where intubation had to be avoided. Perivascular axillary anesthesia according to Weber was performed for a double corrective osteotomy of the humerus. During plexus anesthesia the patient was positioned on the non-anesthesized side in a 15 degrees Trendelenburg position. An extension of analgesia was observed up to the complete upper arm region. Using the modified positioning an extension of brachial plexus anesthesia is possible.
Bullmann
V
V
Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum, Albert Schweitzer Strasse 33, 48149 Münster, Germany. bullmanv@uni-muenster.de
Waurick
R
R
Rödl
R
R
Hülskamp
G
G
Orlowski
O
O
van Aken
H
H
Winkelmann
W
W
Weber
T P
TP
D000328:Adult; D000765:Anesthesia, Conduction; D001917:Brachial Plexus; D005359:Fibrous Dysplasia, Polyostotic / Q000601:surgery*; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009407:Nerve Block; D019637:Orthopedic Procedures; D011187:Posture; D011859:Radiography; D012121:Respiration, Artificial