Document Detail

Distressing upper extremity phantom limb sensation during intravenous regional anesthesia.
MedLine Citation:
PMID:  11172516     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: The objective of this article is to describe a case of distressing upper extremity phantom limb sensation during intravenous regional anesthesia (IVRA).
CASE REPORT: A 33-year-old American Society of Anesthesiologists (ASA) status I female with an uncomplicated intrauterine gestation presented for endoscopic carpal tunnel release. Following gravity-assisted exsanguination of the vertically positioned left upper extremity, she underwent an IVRA. Within minutes of her arm being repositioned for surgery she remarked that the arm felt as if it was still in the vertical position. This sensory disturbance was described as fatiguing and exhausting. Despite reassurance and medication with intravenous narcotics, her symptoms became intolerable. Her phantom sensation disappeared upon dissipation of the IVRA.
CONCLUSIONS: There are no previous reports regarding the development of phantom phenomena during an IVRA. The occurrence of distressing phantom sensations during an otherwise adequate IVRA may be interpreted as block failure and may lead to conversion to general anesthesia. Practitioners are encouraged to consider these phenomena when performing IVRA.
E Dominguez
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia and pain medicine     Volume:  26     ISSN:  1098-7339     ISO Abbreviation:  Reg Anesth Pain Med     Publication Date:    2001 Jan-Feb
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-04-05     Revised Date:  2014-07-28    
Medline Journal Info:
Nlm Unique ID:  9804508     Medline TA:  Reg Anesth Pain Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  72-4     Citation Subset:  IM    
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MeSH Terms
Anesthesia, Conduction / adverse effects*,  methods
Carpal Tunnel Syndrome / surgery
Fentanyl / administration & dosage
Infusions, Intravenous
Phantom Limb / etiology*
Reg. No./Substance:
Comment In:
Reg Anesth Pain Med. 2001 Nov-Dec;26(6):591-2   [PMID:  11707805 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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