Document Detail

Symptomatic axillary hematoma after ultrasound-guided infraclavicular block in a patient with undiagnosed upper extremity mycotic aneurysms.
MedLine Citation:
PMID:  20705787     Owner:  NLM     Status:  MEDLINE    
We present a case of axillary hematoma complicating an ultrasound-guided infraclavicular block in a patient with undiagnosed mycotic aneurysms of the peripheral arteries. Mycotic aneurysm is a rare medical condition with well-identified risk factors. When performing regional anesthesia in patients with these risk factors, clinicians should have a high degree of suspicion about the possible existence of vascular anomalies. A preprocedure Doppler study of the block area and real-time guidance of the needle using ultrasound may be useful.
Dave Gleeton; Simon Levesque; Claude A Trépanier; Jean-Luc Gariépy; Jean Brassard; Nicolas Dion
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2010-08-12
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  111     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-10-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1069-71     Citation Subset:  AIM; IM    
Department of Anesthesiology, Centre de Recherche du CHA, Unité de Recherche en Traumatologie-Urgence-Soins Intensifs, Hôpital de l'Enfant-Jésus, Université Laval, Quebec, QC, G1J 1Z4, Canada.
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MeSH Terms
Aneurysm, Infected / diagnosis,  microbiology*
Arm / blood supply,  microbiology*
Axilla / blood supply,  microbiology*
Diagnosis, Differential
Hematoma / diagnosis,  microbiology*
Nerve Block* / adverse effects
Streptococcal Infections / diagnosis,  microbiology*
Ultrasonography, Interventional* / adverse effects

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