• Agri · Jul 2010

    Case Reports

    [Infraclavicular block with ultrasound at amputated upper extremity].

    • Alparslan Kuş, Yavuz Gürkan, Ciğdem Nur Gök, Mine Solak, and Kamil Toker.
    • Department of Anesthesiology and Reanimation, Kocaeli University, Turkey. alparslank@hotmail.com
    • Agri. 2010 Jul 1;22(3):134-6.

    AbstractWhen 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.

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