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Reg Anesth Pain Med · May 1999
Case ReportsAxillary block complicated by hematoma and radial nerve injury.
- B Ben-David and S Stahl.
- Department of Anesthesia, Herzlia-Haifa (Horev) Medical Center, Israel.
- Reg Anesth Pain Med. 1999 May 1;24(3):264-6.
Background And ObjectivesHematoma is typically cited as one mechanism of nerve injury following axillary block. However, documented cases of this are lacking.MethodsA healthy 38-year-old man was scheduled for surgical removal of a tumor of the hand. A transarterial axillary block was performed with a 22-gauge short-bevel needle using 40 mL of a mixture of equal volumes of 1.5% lidocaine and 0.5% bupivacaine containing 1:200,000 epinephrine. No paresthesias were reported. Postoperative, the patient developed a large axillary hematoma accompanied by paresthesias and radial nerve weakness.ResultsWith conservative management, nerve recovery was complete in 6 months.ConclusionsHematoma complicating axillary block may result in nerve dysfunction.
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