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J Contemp Med. 2015; 5(1): 31-35


ULTRASOUND GUIDED SUPRACLAVICULAR BLOCK FOR UPPER EXTREMITY PERIPHERAL ARTERY LACERATIONS; A FAST, EASY AND SAFE ANAESTHETIC MANAGEMENT

Mustafa Özgür, Ali İhsan Hasde, Ayhan Köseoğlu.

Abstract
SUMMARY
Objective: Peripheral artery injures are important conditions which require an emergency response due to high mortality and morbidity. We, therefore, aimed our ultrasound guided supraclavicular block research on 14 patient cases, who each received emergency surgery for upper extremity peripheral artery lacerations; in conjunction with the literature.

Methods: This study consisted of 14 patients, aged between 17-41 years old, who underwent surgery for upper extremity peripheral artery lacerations at the Antakya State Hospital Cardiovascular Surgery Clinic in 2013 (ASA I-II scores). Ultrasound guided supraclavicular brachial plexus blocks were administered to the patients in the supine position. The patients’ age, sex, height, weight, ASA scores, the localization of the trauma and additional trauma results, block formation time and block administration period were recorded.

Results: The male/female ratio of the cases was 10/4, and radial artery lacerations (50%) were seen most frequently. There was no significant difference between the cases in terms of block formation time and block administration period. The mean block administration period was determined to be 8.45 min, and the mean block formation time was 10.7 min.

Conclusion: The most severe complications for supraclavicular blocks are pneumothorax and vascular trauma. There were no complications in any of our cases in the intraoperative or early postoperative period. Consequently, we believe that ultrasound guided brachial plexus blocks can also be administered quickly and safely for peripheral artery lacerations.

Key words: Ultrasound, nerve block, cardiovascular



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