Meltem SAVRAN KARADENİZ, Kamil Mehmet TUĞRUL, Emine Aysu ŞALVIZ, Erman AK, Ömer BERKÖZ, Emre Sertaç BİNGÜL

Nörofibromatozis tip 1 tanılı hastada anestezi yöntemi olarak ultrason eşliğinde supraklavikuler brakial pleksus blok uygulaması: Olgu sunumu

Nörofibromatozis tip 1 kütanöz ve/veya pleksiform nörofibromlarla ve hiperpigmente ‘café-au-lait’ lekeleriyle karakterize otozomal dominant bir hastalıktır. Endokrin ve visseral organları tutmakta, ve potansiyel havayolu problemleri (ventilasyon/ entübasyon), anormal spinal anatomi ve periferik nörofibromlar gibi çok sayıda zorlukla ilişkili olabilmektedir. Bu sebeplerle komplikasyonlardan kaçınmak, morbidite ve mortaliteyi düşürmek için anestezi yönteminin seçimi daha da önem kazanmaktadır. Biz, bu olgu sunumu ile kol ve önkol cerrahisi geçirecek olan nörofibromatozis tip 1 tanılı hastada ultrason kullanımının ve başarılı supraklavikuler brakial pleksus blok uygulamasının yararlılığını ifade etmeye çalıştık.

Use of ultrasound-guided supraclavicular brachial plexus block as an anesthesia technique in a patient with neurofibromatosis type 1: A case report

Neurofibromatosis type 1 is an autosomal dominant condition characterized by cutaneous and/or plexiform neurofibromasand hyperpigmented café-au-lait spots. It affects multiple endocrine and visceral organs and can be associated with severaldifficulties such as potential airway (ventilation/intubation) problems, abnormal spinal anatomy, and peripheral neurofibromas.Therefore, anesthesia technique selection becomes more of an issue in terms of avoiding complications and decreasingmorbidity and mortality. In the present case, we describe the use of ultrasound and the successful performance of supraclavicularbrachial plexus block for surgery on the arm and forearm in a patient with neurofibromatosis type 1.

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