Hülya YANAL, Yavuz GÜRKAN, Alparslan KUŞ, ONUR BALABAN, Mine SOLAK, Kamil TOKER

Awake hand surgery under ultrasound-guided infraclavicular block is possible for cooperative children

Son yıllarda, brakiyal pleksus anestezi teknikleri çocukların üst ekstremite cerrahisinde daha sık kullanılmaktadır. Rejyonal bloklar ile kooperasyon kurulabilen çocuklarda sedasyon eşliğinde cerrahi uygulanabilmektedir. Bu yazıda, ultrason (US) rehberliğinde infraklavikülar blok ile el ve ön kol cerrahisi geçiren uyanık beş olgu sunuldu. Tüm hastalarda cerrahi anestezi sağlandı ve cerrahi sadece brakiyal pleksus anestezisi ile tamamlandı. Sonuç olarak, US rehberliğinde brakiyal pleksus anestezisinin uygun çocuk hastalarda genel anestezi olmaksızın ameliyat için başarılı bir anestezi sağlayabileceğini düşünüyoruz.

Koopere çocuklarda ultrason rehberliğinde infraklavikular blok ile uyanık el cerrahisi mümkündür

In recent years, brachial plexus anesthesia techniques for upper limb surgery have been used more and more commonly on children; however, the patient is typically under deep sedation or general anesthesia. For eligible, cooperative children, surgery can also be performed using regional blocks while the patient is awake. We present 5 cases in which Ultrasound (US)guided infraclavicular brachial plexus blocks (ICB) were used on children for hand or forearm surgery. Surgical anesthesia was achieved in all patients and surgery was completed uneventfully using brachial plexus anesthesia, without need for deep sedation.

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