Ultrasound-guided infraclavicular block in an anticoagulated and anesthetized patient.
The author describes the use of ultrasound to facilitate a continuous infraclavicular brachial plexus block in a patient who had been anticoagulated with 5000 U of heparin. The procedure was done 2 h after the patient was anticoagulated, and his activated clotting time was 203 s. The patient had vascular checks with a laser Doppler monitor every hour and neurological checks every 12 h.
Bigeleisen
Paul E
PE
Department of Anesthesiology, University of Rochester School of Medicine, Strong Memorial Hospital, Rochester, New York 14642, paul_bigeleisen@urmc.rochester.edu
D000328:Adult; D000768:Anesthesia, General / Q000295:instrumentation / Q000379:methods*; D000925:Anticoagulants / Q000494:pharmacology / Q000627:therapeutic use*; D001917:Brachial Plexus / Q000000981:diagnostic imaging* / Q000187:drug effects; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000295:instrumentation / Q000379:methods*; D014463:Ultrasonography
D000925:Anticoagulants