title: Continuous infraclavicular block for forearm amputation after being bitten by a saltwater crocodile (Crocodylus porosus): a case report.
abstract: Two important issues after a complete right forearm amputation are replantation and ongoing pain management. There are no reports of successful forearm replantation as a consequence of a crocodile bite. Here, we discuss our pain management in a case of complete forearm amputation after a bite from a saltwater crocodile (Crocodylus porosus), which necessitated six further operations to achieve successful replantation. Continuous infraclavicular brachial plexus block was effective for acute pain control in this case. We strongly recommend performing the block with an indwelling catheter under ultrasound guidance for higher accuracy and safety.
authors: Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors: Chin-Hsi
authors: CH
authors: Chiu
authors: Yi-Wei
authors: YW
authors: Kuo
authors: Ho-Te
authors: HT
authors: Hsu
authors: Koung-Shing
authors: KS
authors: Chu
authors: Chia-Fang
authors: CF
authors: Shieh
mesh_terms: D000328:Adult; D000489:Alligators and Crocodiles; D000673:Amputation, Traumatic; D000818:Animals; D001733:Bites and Stings / Q000601:surgery*; D005542:Forearm / Q000601:surgery*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D059408:Pain Management; D010147:Pain Measurement / Q000379:methods*