[Infraclavicular block with ultrasound at amputated upper extremity].
When ultrasound (US) is used in peripheric nerve blocks, successful nerve blocks can be performed even if nerve stimulation is not possible. In this case report, we present a 37-year-old male patient, ASA physical status I, undergoing debridement and grafting for incomplete arm whose upper extremity (forearm) was amputated due to electric shock; motor response to nerve stimulation was not possible. With the help of US, lateral sagittal infraclavicular block was performed with 20 ml local anesthetic mixture (10 ml of 0.5% levobupivacaine and 10 ml 2% lidocaine with 5 mcg/ml epinephrine). After 20 minutes, the patient was ready for surgery and the operation was performed successfully.
Kuş
Alparslan
A
Department of Anesthesiology and Reanimation, Kocaeli University, Turkey. alparslank@hotmail.com
Gürkan
Yavuz
Y
Gök
Ciğdem Nur
CN
Solak
Mine
M
Toker
Kamil
K
D000328:Adult; D000672:Amputation Stumps / Q000000981:diagnostic imaging / Q000601:surgery*; D000779:Anesthetics, Local / Q000627:therapeutic use; D001132:Arm / Q000601:surgery*; D002045:Bupivacaine / Q000031:analogs & derivatives / Q000627:therapeutic use; D003646:Debridement / Q000379:methods; D004558:Electric Stimulation; D004837:Epinephrine / Q000627:therapeutic use; D006801:Humans; D000077554:Levobupivacaine; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D009407:Nerve Block; D018084:Ultrasonography, Interventional / Q000379:methods
D000779:Anesthetics, Local; D008012:Lidocaine; D000077554:Levobupivacaine; D002045:Bupivacaine; D004837:Epinephrine