Ultrasound and neurostimulation-guided axillary brachial plexus block for resection of a hemodialysis fistula aneurysm.
An ASA III patient presenting with a voluminous hemodialysis fistula aneurysm at the elbow was scheduled for its resection. Axillary brachial plexus block was performed under ultrasound and neurostimulation guidance. Despite unexpected nerve positions in relation to pathological vascular anatomy, this combined approach resulted in an adequate block with a low volume of local anesthetic, without obvious vascular puncture or intraneural injection.
Dufour
Eric
E
Department of Anesthesiology, Foch Hospital, 40 rue Worth, 92151 Suresnes, France.
Laloë
Pierre-Antoine
PA
Culty
Thibaut
T
Fischler
Marc
M
D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D001917:Brachial Plexus / Q000000981:diagnostic imaging*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005402:Fistula; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D006435:Renal Dialysis / Q000009:adverse effects*; D014463:Ultrasonography