Emre KISA, Nagihan Gözde ATEŞ, Serkan TULGAR

Multitravmalı Bir Olguda Transkutanöz Sinir Haritalama Tekniğiyle Bilateral Aksiller Blok Deneyimimiz

Üst ekstremite cerrahilerinde anesteziye bağlı hızlı derlenme, daha az yan etki, daha iyi analjezi ve daha fazla hasta konforu sağlaması nedeniyle brakial pleksus blokları tercih edilmektedir.Aksiller blok en sık uygulanan brakial pleksus bloklarından biridir. Bilateral pleksus blokları sistemik lokal anestezik sistemik toksisitesi ve buna bağlı komplikasyonları nedeniyle uygulayıcılar tarafından nadiren yapılır. Bu yazıda transkutanöz sinir haritalama tekniğiyle nörostimülatör eşliğinde bilateral aksiller blok ile ortopedik cerrahi girişim yapılan, komorbiditeleri olan 74 yaşındaki hastaya ait deneyimlerimiz güncel literatür ışığında sunulmuştur.

Anahtar Kelimeler:

Bilateral, aksiller blok, sinir, haritalama

Our Experience of Transcutaneous Nerve Mapping Guided Bilateral Axillary Block in A Case of Multiple Trauma

Brachial plexus blockade is a suitable technique for surgery of the forearm, because it offers faster resilience, better analgesia,lesser adverse effects and more patient comfort. Axillary block is the one of the most applied kind of brachial plexus blockades. However, synchronous blockade of both upper extremities has rarely been performed, because systemic toxicity and related complications may be a problem. Our experiences about anesthesia management in a 74 years old patient, with comorbidities, undergone operation by orthopedics, with transcutaneous nerve mapping technique guided bilateral axillary block with neurostimulator are described here under the light of current literatüre.

Keywords:

Bilateral, axillary block, nevre, mapping,

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