Yavuz GÜRKAN, CAN AKSU, Kamil TOKER, Mine SOLAK

Ultrasound-guided infraclavicular and sciatic block for a patient who had surgery simultaneously for sindactili of the right hand and polydactilia of the right foot: Case report

Ultrasonun (US) büyük avantajlarından birisi başarılı blok için gereken lokal anestetik (LA) miktarındaki azalmadır. Azalmış LA gereksinimi, birden fazla ekstremitesinden ameliyat olacak hastaya çoklu blok yapılırken LA toksisitesi riskini azaltır. Otuz sekiz yaşında kadın hasta, sağ ayağında polidaktili, sağ elinde sindaktili için elekti f ameliyatı planlanmış. Siyatik sinir bloğu ve inf- raklavikular blok, hastaya, US rehberliğinde yapıldı. Siyatik blok, pron, figure of four pozisyonunda, popliteal seviyede uygulandı. İnfraklavikular blok için lateral sagital teknik kullanıldı. İki blok da başarılı oldu ve hasta blok uygulamalarından 30 dakika sonra operasyona hazırdı. Operasyon süresince hastanın herhangi bir ek anestetik ve anal jezik ihtiyacı olmadı. Operasyon her iki ekstre- mitede sorunsuz olarak gerçekleştirildi. Bu, literatürdeki, kol ve bacak olarak, iki farklı ekstremitede çoklu blok uygulanan ilk olgu sunumudur. Sonuç olarak bizim olgu sunumumuz, farklı ekstremitelerde çoklu blokların, US rehberliğinde düşük doz LA kullanıla- rak, başarılı ve güvenli bir şekilde uygulanabildiğini gösteren güzel bir örnektir.

Eş zamanlı olarak sağ elinden sindaktili ve sağ ayağından polidaktili için operasyon geçiren hastada ultrason rehberliğinde infraklavikular ve siyatik blok: Olgu sunumu

A major advantage of ultrasound (US) has been reduction in the amount of local anaesthetic (LA) needed for successful blocks. Reduced LA requirement reduces the risk of LA toxicity when multiple blocks are to be done for surgery of more than one extremity in the same patient. The 38-year-old female was scheduled for elective surgery of polydactilia in her right foot and syndactili in her right hand. A sciatic nerve block and an infraclavicular block were applied to the patient, with ultrasound guidance. The sciatic block was performed at the popliteal level in figure of four position in prone position. The lateral sagital technique was used for the infraclavicular block. Both blocks were successful, and the patient was ready for surgery 30 minutes after block performances. The patient didnt need any additional anaesthetic or analgesic during the operation. Surgery was performed uneventfully on both extremities. This is the first case report in the literature in which multiple blocks were applied to two different extremities, the leg and arm. In conclusion, our case report is a good example of multiple blocks in different extremities being performed successfully and safely according to US guidance and using low doses of local anaesthetics

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