Naslov
Continous Axillary Block for Rehabilitation After Elbow Procedures

Autori
Tripković, Branimir ; Sulentic, Manda ; Šmigovec, Eva ; Globlek Krešimir.

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Abstracts of the XXVII Annual ESRA Congress of the European Society of Regional Anaesthesia & Pain Therapy, Genoa, Italy, September 24-27, 2008 ; u: Regional anesthesia and pain medicine 33 (2008)(5)(S1) ; e1-e263 / - , 2008, E187-e187

Skup
XXVII Annual ESRA Congress of the European Society of Regional Anaesthesia & Pain Therapy

Mjesto i datum
Genova, Italija, 24.09.2008. - 27.09.2008

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
axillary block; elbow procedures

Sažetak
Background: Continuous brachial plexus blockade is a useful technique for limb procedures requiring a prolonged anaesthesia. The axillary catheter also facilitates rehabilitation after major elbow surgery. The aim of this study is to analyse the efficiency and safety of continuous axillary block after elbow surgery. Methods: The cases of major elbow surgery requiring intensive postoperative physiotherapy were included. All procedures were performed in regional anaesthesia. First postoperative day axillary catheter was placed using a standard insertion technique. The n. ulnaris response is preferred when surgical procedure was on medial side or the n. radialis response if the procedure was on lateral side of elbow. The catheter tip was advanced about 5-7 cm beyond the needle tip. A bolus of local anaesthetics was administered 30 minutes before physiotherapy. The following parameters were analysed: the time that catheter was in situ, complications (catheter damage, nerve injury, side effects of anaesthetics) and microbiological report. Results: 58 patients (age 14 - 78 years ; median age 48) were included. A total number of 64 catheters were introduced. The average time of catheter in situ was 7 days (2-23). The complications included: five patients reported inadequate anaesthesia and 6 cases with catheter damage. In all cases new catheter was placed. There were two patients who reported suspected n. ulnaris damage ; both cases were dissolved performing a new surgical procedure - transposition of n. ulnaris. Microbiological analysis was performed in 20 patients. In 16 of them (80%) positive cultures were obtained. In all cases Staphylococcus epidermidis was isolated. There were no signs of local or general infection. Conclusion: The insertion of axillary catheter is easy, complications are rare and the patients did not complain having catheter. This procedure is low invasive, easy reproducible and improve patients satisfaction.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA