
The Combination of Two Regional Anesthesia Techniques in a High-Risk Patient: A Case Report
Author(s) -
Uğur Peköz,
Ali Ahişkalıoğlu
Publication year - 2021
Publication title -
göğüs kalp damar anestezi ve yoğun bakım derneği dergisi
Language(s) - English
Resource type - Journals
ISSN - 1305-5550
DOI - 10.5222/gkdad.2021.44227
Subject(s) - medicine , anesthesia , surgery , sedation , dermatome , arteriovenous fistula , local anesthesia , airway , regional anesthesia , brachial plexus block , brachial plexus
It is necessary to open subcutaneous arteriovenous fistulas for patients with chronic renal failure for the future steps of dialysis. These surgical procedures are performed under sedation, local anesthesia, regional anesthesia, or general anesthesia. In this case report, we shared our anesthesia experience in a patient with comorbid diseases, high BMI, and difficult airway to undergo fistula surgery between the left brachial artery and the left axillary vein. We performed serratus anterior plane block and infraclavicular block which was successful, and the surgical procedure was performed comfortably without any complications. Infraclavicular block and upper-level serratus anterior plane block can be applied together for anesthesia of the T1-T2 dermatome.