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Obliteration of the axillary artery after axillary block
Author(s) -
OTT B.,
NEUBERGER L.,
FREY H. P.
Publication year - 1989
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1989.tb09269.x
Subject(s) - medicine , axillary artery , mepivacaine , bevel , axillary vein , palpation , surgery , local anesthetic , engineering , structural engineering , thrombosis
Summary A case of total obliteration of the axillary artery after axillary block is presented. This resulted from an accidental intramural injection of local anaesthetic (mepivacaine 1%, 40ml, with adrenaline 1:200 000). Axillary block was performed using the loss of resistance technique with a blunt needle (45° bevel). The diagnosis was made by paplation of the peripheral pluse and by comparison between the skin temperatures of each arm. The thrombosed part of the artery was successfully reconstructed with an autologous saphenous vein graft.