Use of Continuous Brachial Plexus Blockade for Treatment of Accidental Intra-Arterial Injection
Department of Anesthesiology and Reanimation, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey
JEMCR 2017; 8: 34-36
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Key Words: Pediatric, intra-arterial injection, brachial plexus block
Introduction: Unintentional intra-arterial injection of drugs has serious problems and morbidity such as pain, ischemia, gangrene, and infection. Aberrant vascularization is a frequent cause of intra-arterial injection.
Case Report: We describe a pediatric case of accidental cannulation of aberrant arterial vessel during venous insertion and our brachial plexus block treatment to obtain continuous vasodilatation to prevent ischemic effects.
Conclusion: Sympatholysis with peripheral nerve blocks may decrease morbidity providing an additional benefit to pharmacological treatment by increasing blood flow to the tissue after the intra-arterial injection.