Document Detail

Blister formation on the thumb following the second intravenous regional reserpine in the hand. Case report.
MedLine Citation:
PMID:  8148296     Owner:  NLM     Status:  MEDLINE    
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.
S Watanabe; M Okada; S Inomata; T Iino
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia     Volume:  19     ISSN:  0146-521X     ISO Abbreviation:  Reg Anesth     Publication Date:    1994 Jan-Feb
Date Detail:
Created Date:  1994-05-12     Completed Date:  1994-05-12     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7707549     Medline TA:  Reg Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  59-61     Citation Subset:  IM    
Department of Anesthesia, Mito Saiseikai General Hospital, Ibaraki, Japan.
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MeSH Terms
Blister / chemically induced*
Injections, Intravenous
Pain / drug therapy*,  etiology
Reserpine / administration & dosage*,  adverse effects
Thumb / injuries*
Reg. No./Substance:

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