| Blister formation on the thumb following the second intravenous regional reserpine in the hand. Case report. | |
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MedLine Citation:
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PMID: 8148296 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVES: Local, not systemic, complications associated with intravenous regional sympathetic block (IVRS) are very rare. The authors report the complication that occurred in a 70-year-old man who sustained an injury of the left thumb. METHODS: The second IVRS using reserpine and lidocaine, 1 week after the first IVRS, was performed for pain relief. RESULTS: About 1 hour after the operation, an entirely localized blister developed in the dorsolateral aspect of the thumb. The palmar side appeared viable 2 weeks after the operation, which guaranteed intact survival of the thumb, but 2 months later the patient reported that he had the thumb amputated at an outside hospital. CONCLUSIONS: When IVRS is applied to the extremities with compromised vasculature, or with an altered neuroanatomy, unpredictable and counterproductive mishaps may occur. |
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Authors:
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S Watanabe; M Okada; S Inomata; T Iino |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Regional anesthesia Volume: 19 ISSN: 0146-521X ISO Abbreviation: Reg Anesth Publication Date: 1994 Jan-Feb |
Date Detail:
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Created Date: 1994-05-12 Completed Date: 1994-05-12 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 7707549 Medline TA: Reg Anesth Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 59-61 Citation Subset: IM |
Affiliation:
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Department of Anesthesia, Mito Saiseikai General Hospital, Ibaraki, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blister / chemically induced* Humans Injections, Intravenous Male Pain / drug therapy*, etiology Reserpine / administration & dosage*, adverse effects Thumb / injuries* |
| Chemical | |
Reg. No./Substance:
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50-55-5/Reserpine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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