• Anesthesia and analgesia · Oct 2010

    Review Case Reports

    Symptomatic axillary hematoma after ultrasound-guided infraclavicular block in a patient with undiagnosed upper extremity mycotic aneurysms.

    • Dave Gleeton, Simon Levesque, Claude A Trépanier, Jean-Luc Gariépy, Jean Brassard, and Nicolas Dion.
    • Department of Anesthesiology, Centre de Recherche du CHA, Unité de Recherche en Traumatologie-Urgence-Soins Intensifs, Hôpital de l'Enfant-Jésus, Université Laval, Quebec, QC, G1J 1Z4, Canada. g.dave@live.com
    • Anesth. Analg. 2010 Oct 1;111(4):1069-71.

    AbstractWe present a case of axillary hematoma complicating an ultrasound-guided infraclavicular block in a patient with undiagnosed mycotic aneurysms of the peripheral arteries. Mycotic aneurysm is a rare medical condition with well-identified risk factors. When performing regional anesthesia in patients with these risk factors, clinicians should have a high degree of suspicion about the possible existence of vascular anomalies. A preprocedure Doppler study of the block area and real-time guidance of the needle using ultrasound may be useful.

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