Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report

Topal, Ahmet; KILIÇASLAN, ALPER; EROL, Atilla; OTELCİOĞLU, Şeref; SELİMOGLU, Muhammed Nebil

Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report

Alper KILIÇASLAN, (Selçuk Üniversitesi, Meram Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

Atilla EROL, (Selçuk Üniversitesi, Meram Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

Ahmet TOPAL, (Selçuk Üniversitesi, Meram Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

Muhammed Nebil SELİMOGLU, (Selçuk Üniversitesi, Meram Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Konya, Türkiye)

Şeref OTELCİOĞLU (Selçuk Üniversitesi, Meram Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

Ağrı

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Yıl: 2013 Cilt: 25 Sayı: 3 Sayfa Aralığı: 133 - 136 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report

Öz:

Üst ve alt ekstremite bloklarının aynı ameliyat içinde kombine kullanımı lokal anestetiklerin sistemik toksisite riskinden dolayı nadi-ren uygulanmaktadır. Bu yüzden bu tür ameliyatlarda genellikle genel anestezi tercih edilmektedir. Ancak ultrason kullanımı sinir-lerin etrafında güvenilir anestezik birikimi sağlayarak, imkan dahilinde anestezik ihtiyacı azaltır. Bu yazıda, ultrason rehberliğindeinfraklaviküler brakiyal pleksus bloğu ve lateral femoral kütanöz sinir bloğuyla, 44 yaşında erkek, ASA fziksel durumu I, yan uylukbölgesinden alınacak olan deri greftiyle üst ekstremite rekonstriksiyonu yapılan bir hasta sunuldu. Blok başarılı oldu ve bloğa bağlıkomplikasyon görülmedi. Biz ultrason rehberliğinde infraklavikuler brakiyal pleksus bloğu ile lateral femoral kutaneus sinir bloğununkombine edilmesinin klinik olarak kullanışlı ve güvenli bir teknik olduğunu ve üst ekstremitenin deri grefti gerektiren rekonstriksiyon-larında alternatif bir anestezi metodu olduğunu düşünmekteyiz.

Anahtar Kelime:

Konular: Cerrahi

Geniş cilt grefti gerektiren üst ekstremite rekonstrüksiyonunda ultrason rehberliğinde infraklavikular blok ve lateral femoral kutanöz sinir blok uygulamasının kombine kullanımı: Olgu sunumu

Öz:

Combined nerve blocks of the upper extremity and lower limb in same operation rarely performed due to the risk of systemictoxicity of local anesthetics. Terefore, general anesthesia is generally preferred in this operations. However, use of ultrasoundallows reliable deposition of the anesthetic around the nerves, potentially lowering the local anesthetic requirement. In thiscase report, we present a 44-year-old, ASA physical status I, male patient who was operated for upper extremity reconstruc-tion requiring skin graft from anterolateral thigh region under ultrasound-guided infraclavicular brachial plexus block andlateral femoral cutaneous nerve block. Te block was successful and no block-related complications were noted. We think thatcombining an ultrasound guided infraclavicular brachial plexus block and a lateral femoral cutaneous nerve block is a clinicallyuseful and safe technique and an alternative anesthetic method for procedures requiring skin grafts for the upper extremity.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Eichenberger U, Stöckli S, Marhofer P, Huber G, Willi- mann P, Kettner SC, et al. Minimal local anesthetic vol- ume for peripheral nerve block: a new ultrasound-guided, nerve dimension-based method. Reg Anesth Pain Med 2009;34(3):242-6.
2. Wardrop PJ, Nishikawa H. Lateral cutaneous nerve of the thigh blockade as primary anaesthesia for harvesting skin grafts. Br J Plast Surg 1995;48(8):597-600.
3. Karacalar A, Karacalar S, Uçkunkaya N, Sahin S, Ozcan B. Combined use of axillary block and lateral femoral cutane- ous nerve block in upper-extremity injuries requiring large skin grafts. J Hand Surg Am 1998;23(6):1100-5.
4. Shannon J, Lang SA, Yip RW, Gerard M. Lateral femoral cuta neous nerve block revisited. A nerve stimulator technique. Reg Anesth 1995;20(2):100-4.
5. Hurdle MF, Weingarten TN, Crisostomo RA, Psimos C, Smith J. Ultrasound-guided blockade of the lateral femoral cutane- ous nerve: technical description and review of 10 cases. Arch Phys Med Rehabil 2007;88(10):1362-4.
6. Sandhu NS, Capan LM. Ultrasound-guided infraclavicular brachial plexus block. Br J Anaesth 2002;89(2):254-9.
7. Gürkan Y, Acar S, Solak M, Toker K. Comparison of nerve stim - ulation vs. ultrasound-guided lateral sagittal infraclavicular block. Acta Anaesthesiol Scand 2008;52(6):851-5.
8. Small J, Wallace RG, Millar R, Woolfson AD, McCaferty DF. Pain-free cutting of split skin grafts by application of a percutaneous local anaesthetic cream. Br J Plast Surg 1988;41(5):539-43.
9. Bodner G, Bernathova M, Galiano K, Putz D, Martinoli C, Felf- ernig M. Ultrasound of the lateral femoral cutaneous nerve: normal fndings in a cadaver and in volunteers. Reg Anesth Pain Med 2009;34(3):265-8.
10. Ng I, Vaghadia H, Choi PT, Helmy N. Ultrasound imaging ac- curately identifes the lateral femoral cutaneous nerve. Anes- th Analg 2008;107(3):1070-4.
11. Brown DL. Atlas of regional anesthesia. 2nd ed. Philadelphia: WB Saunders; 1999. p. 114.
12. P älve H, Kirvelä O, Olin H, Syvälahti E, Kanto J. Maximum rec- ommended doses of lignocaine are not toxic. Br J Anaesth 1995;74(6):704-5.
13. Sandhu NS, Bahniw al CS, Capan LM. Feasibility of an infracla- vicular block with a reduced volume of lidocaine with sono- graphic guidance. J Ultrasound Med 2006;25(1):51-6.

APA	KILIÇASLAN A, EROL A, Topal A, SELİMOGLU M, OTELCİOĞLU Ş (2013). Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. , 133 - 136.
Chicago	KILIÇASLAN ALPER,EROL Atilla,Topal Ahmet,SELİMOGLU Muhammed Nebil,OTELCİOĞLU Şeref Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. (2013): 133 - 136.
MLA	KILIÇASLAN ALPER,EROL Atilla,Topal Ahmet,SELİMOGLU Muhammed Nebil,OTELCİOĞLU Şeref Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. , 2013, ss.133 - 136.
AMA	KILIÇASLAN A,EROL A,Topal A,SELİMOGLU M,OTELCİOĞLU Ş Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. . 2013; 133 - 136.
Vancouver	KILIÇASLAN A,EROL A,Topal A,SELİMOGLU M,OTELCİOĞLU Ş Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. . 2013; 133 - 136.
IEEE	KILIÇASLAN A,EROL A,Topal A,SELİMOGLU M,OTELCİOĞLU Ş "Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report." , ss.133 - 136, 2013.
ISNAD	KILIÇASLAN, ALPER vd. "Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report". (2013), 133-136.

APA	KILIÇASLAN A, EROL A, Topal A, SELİMOGLU M, OTELCİOĞLU Ş (2013). Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. Ağrı, 25(3), 133 - 136.
Chicago	KILIÇASLAN ALPER,EROL Atilla,Topal Ahmet,SELİMOGLU Muhammed Nebil,OTELCİOĞLU Şeref Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. Ağrı 25, no.3 (2013): 133 - 136.
MLA	KILIÇASLAN ALPER,EROL Atilla,Topal Ahmet,SELİMOGLU Muhammed Nebil,OTELCİOĞLU Şeref Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. Ağrı, vol.25, no.3, 2013, ss.133 - 136.
AMA	KILIÇASLAN A,EROL A,Topal A,SELİMOGLU M,OTELCİOĞLU Ş Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. Ağrı. 2013; 25(3): 133 - 136.
Vancouver	KILIÇASLAN A,EROL A,Topal A,SELİMOGLU M,OTELCİOĞLU Ş Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report. Ağrı. 2013; 25(3): 133 - 136.
IEEE	KILIÇASLAN A,EROL A,Topal A,SELİMOGLU M,OTELCİOĞLU Ş "Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report." Ağrı, 25, ss.133 - 136, 2013.
ISNAD	KILIÇASLAN, ALPER vd. "Combined use of ultrasound guided infraclavicular block and lateral femoral cutaneous nerve block in upper extremity reconstruction requiring large skin graft: Case report". Ağrı 25/3 (2013), 133-136.