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Reg Anesth Pain Med. 1999 May-Jun;24(3):264-6.

Axillary block complicated by hematoma and radial nerve injury.

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1
Department of Anesthesia, Herzlia-Haifa (Horev) Medical Center, Israel.

Abstract

BACKGROUND AND OBJECTIVES:

Hematoma is typically cited as one mechanism of nerve injury following axillary block. However, documented cases of this are lacking.

METHODS:

A healthy 38-year-old man was scheduled for surgical removal of a tumor of the hand. A transarterial axillary block was performed with a 22-gauge short-bevel needle using 40 mL of a mixture of equal volumes of 1.5% lidocaine and 0.5% bupivacaine containing 1:200,000 epinephrine. No paresthesias were reported. Postoperative, the patient developed a large axillary hematoma accompanied by paresthesias and radial nerve weakness.

RESULTS:

With conservative management, nerve recovery was complete in 6 months.

CONCLUSIONS:

Hematoma complicating axillary block may result in nerve dysfunction.

PMID:
10338180
[Indexed for MEDLINE]
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