PERIPHERAL BLOCK ANESTHESIA OF UPPER EXTREMITY AND ITS COMPLICATIONS

Objective & Hypothesis:Successful peripheral blocks and selection of appropriate technique according to surgery is possible with a good knowledge of anatomy.

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Key Findings & Data:Regional peripheral block anesthesia of upper extremity which applied by single injection to plexus brachialis is the most recommended method of anesthesia in daily surgical procedures.

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Conclusion & Impact:In this compilation we aimed to review again the complications of upper extremity nerve blocks according to block type.

🔬Design:Review & Systematic Survey

📍Scope:Comprehensive Sample

⚙️Variables:Rejyonel anestezi · periferik blok · pleksus brakiyalis

Abstract

Successful peripheral blocks and selection of appropriate technique according to surgery is possible with a good knowledge of anatomy. Regional peripheral block anesthesia of upper extremity which applied by single injection to plexus brachialis is the most recommended method of anesthesia in daily surgical procedures. The most important advantages of peripheral nerve blocks which are type of regional anesthesia according to general anesthesia and central blocks are less effect to respiration and hemodynamics and shortness of recovery time. If a plexus brachialis catheter is placed, control of pain is provided without using systemic narcotic analgesic. With these advantages; rare life threatening potential complications can be seen which are pneumothorax, hematoma, neuritis, allergy, systemic and neurologic complications. In this compilation we aimed to review again the complications of upper extremity nerve blocks according to block type.

Özet

Periferik blokların başarılı olması ve cerrahiye uygun tekniğin seçilebilmesi ancak iyi anatomi bilgisiyle olabilmektedir. Tek injeksiyonla pleksus brakiyalise uygulanan bölgesel üst ekstremite periferik blok anestezisi, günübirlik cerrahide en çok tavsiye edilen anestezi yöntemidir. Rejyonel anestezi türü olan periferik sinir bloklarının; genel anesteziye ve santral bloklara göre en önemli avantajları solunuma ve hemodinamiye etkisinin az olması, derlenme süresinin kısa olmasıdır. Pleksus brakiyalise kateter yerleştirilirse, sistemik narkotik analjezik kullanmadan ağrı kontrolü sağlanabilir. Avantajlarının yanında nadirde olsa yaşamı tehdit edebilecek potansiyel komplikasyonlarda görülebilir. Pnömotoraks, hematom, nörit, allerji, sistemik ve nörolojik komplikasyonlar bunlardan bazılarıdır. Biz bu derlemede üst ekstremite sinir bloklarında karşımıza çıkabilecek komplikasyonları blok tipine göre gözden geçirmeyi amaçladık.

Keywords

Rejyonel anestezi periferik blok pleksus brakiyalis komplikasyon.Regional anesthesia peripheral block plexus brachialis complication.

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Cite This Article

TAPAR, H., SÜREN, M., KAYA, Z., ARICI, S., KARAMAN, S., KAHVECİ, M. (2012). PERIPHERAL BLOCK ANESTHESIA OF UPPER EXTREMITY AND ITS COMPLICATIONS. Journal of Contemporary Medicine, Cilt: 2 - Sayı: 3, 195–200. https://ajindex.com/articles/775367

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References (11)

Erdine S. Rejyonel Anestezi. Nobel Tıp Kitabevi:İstanbul; 2005. Whiteside J.B,Wildsmith J.A.W. Developments in local anaesthetic drugs. Br Journal Anaesth 2001;87(1):27-35.
Valentin N, Lomholt B, Jensen JS, Hejgaard N, Kreiner S. Spinal or general anaesthesia for surgery of the fractured hip? A prospective study of mortality in 578 patients. Br J Anaesth 1986;58(3):284-291. Brown DL. Brachial plexus anesthesia: an analysis of op- tions.Yale J Biol Med 1993;66(5):415-431. Schulz-Stübner S. Brachial plexus. Anesthesia and analgesia. Anaesthesist 2003;52(7):643-656. Gaither K. Cocaine Abuse in Pregnancy: An Evolution from Panacea to Pandemonium. Southern Med J 2008;101(8):783-784. 7. dos Reis A Jr. Eulogy to August Karl Gustav Bier on the 100th anniversary of intravenous regional block and the 110th anniversary of the spinal block. Rev Bras Anestesiol 2008;58(4):409-424. Urmey WF. Upper Extremity Blocks. In: Brown DL, editor. Regional Anesthesia and Analgesia. Philadelphia: W.B. Saunders Company 1996.p.266-268.
Özyalçın SN, Erdine S. Üst ekstremite somatik blokları. Rejyonel Anestezi. Nobel Tıp Kitabevi:İstanbul; 2005.
Çelik F, Tüfek A, Temel V ve ark. Spinal anestezi ve üst ekstremite periferik sinir bloğu kombinasyonu: iki olgu sunumu. Dicle Tıp Dergisi:Diyarbakır; 2010.
Marhofer P, Greher M, Kapral S. Ultrasound guidance in regional anaesthesia. Br J Anaesth 2005;94(1):7-17.
Koscielniak-Nielsen ZJ, Rasmussen H, Hesselbjerg L, Nielsen TP, Gürkan Y. Infraclavicular block causes less discomfort than axillary block in ambulatory patients. Acta Anaesthesiol Scand 2005;49(7):1030-1034.
Gürkan Y, Acar S, Solak M, Toker K. Comparison of nerve stimulation vs. ultrasound guided lateral sagittal infraclavicular block. Acta Anaesthesiol Scand 2008;52(6):851-855.
Kapral S, Krafft P, Gosch M, Fleischmann D, Weinstabl C. Ultrasound imaging for stellate ganglion block: direct visualization of puncture site and local anesthetic spread. A pilot study. Reg Anesth 1995;20(4):323-328.
Liu FC, Liou JT, Tsai YF, Li AH, Day YY, Hui YL, Lui PW. Efficacy of ultrasound-guided axillary brachial plexus block: a comparative study with nerve stimulator-guided method. Chang Gung Med J 2005;28(6):396-402.
Sandhu NS, Manne JS, Medabalmi PK, Capan LM. Sonographically guided infraclavicular brachial plexus block in adults: a retrospective analysis of 1146 cases. J Ultrasound Med 2006;25(12):1555-1561.
Marhofer P, Sitzwohl C, Greher M et al (2004) Ultrasound guidance for infraclavicular br