LOW-VOLUME ULNAR NERVE BLOCK WITHIN THE AXILLARY SHEATH FOR THE TREATMENT OF REFLEX SYMPATHETIC DYSTROPHY

被引：13

作者：

KLEIN, DS ^{[1
]}

KLEIN, PW ^{[1
]}

机构：

[1] OHIO STATE UNIV,DEPT ANESTHESIOL,COLUMBUS,OH 43210

来源：

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1991年 / 38卷 / 06期

关键词：

ANESTHETIC TECHNIQUES; REGIONAL; AXILLARY; COMPLICATIONS; ANGIOGRAPHY; PAIN; REFLEX SYMPATHETIC DYSTROPHY;

D O I：

10.1007/BF03008456

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A case is described of reflex sympathetic dystrophy (RSD) of the upper limb following cerebral arteriography via the subclavian artery. The pain started in the hand and forearm but, over several weeks, spread to involve the whole arm. After identifying the ulnar nerve in the axillary bundle with a stimulator, a series of small volume injections (bupivacaine 0.5% with epinephrine 2.5 ml and methyl-prednisolone 40 mg) was given. These relieved the pain and reversed the trophic changes of RSD. It is suggested that this approach is a useful alternative treatment in cases of RSD of the upper extremity.

引用

页码：764 / 766

页数：3

共 12 条

[1]

CARRON H, 1984, REGIONAL ANESTHESIA

[2]

CHRISTENSEN K, 1982, ACTA CHIR SCAND, V148, P653

[3]

CHUINARD G, 1981, SO MED J, V74, P1481

[4]

DEFALQUE JR, 1984, REGIONAL ANESTHESIA, V9, P35