Regional to the Rescue! Axillary Brachial Plexus Nerve Block Facilitates Removal of Entrapped Transradial Catheter Placed for Cardiac Catheterization.

Abstract:

OBJECTIVE:Our objective was to describe the first reported use of an axillary brachial plexus block to treat the entrapment of a transradial artery catheter due to vasospasm. CASE REPORT:A 42-year-old man undergoing transradial arterial cardiac catheterization suffered arterial vasospasm causing the catheter to become entrapped and refractory to conservative (warm compresses) and standard pharmacologic interventions (intracatheter verapamil, intravenous infusions of nitroglycerin and nicardipine, and subcutaneous lidocaine and topical nitroglycerin). Anesthesia was consulted, and attempts at catheter removal under monitored anesthesia and general anesthesia failed. Finally, in order to avoid surgical intervention, an ultrasound-guided axillary brachial plexus block with mepivacaine was performed, resulting in easy removal of the catheter. CONCLUSIONS:Axillary brachial plexus nerve blocks are an effective, efficient, and safe intervention with a wide range of indications. This case report demonstrates that an axillary nerve block can be used to treat the entrapment of a transradial artery catheter due to vasospasm.

journal_name

Reg Anesth Pain Med

authors

Fitzgerald BM,Babbel LA,Bacomo FK,Dhanjal ST

doi

10.1097/AAP.0000000000000595

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

475-477

issue

4

eissn

1098-7339

issn

1532-8651

journal_volume

42

pub_type

杂志文章
  • Frequency of hypotension during conventional or asymmetric hyperbaric spinal block.

    abstract:BACKGROUND AND OBJECTIVES:The purpose of this randomized, double-blind study was to evaluate if use of an asymmetric spinal block affects the incidence of hypotension during spinal anesthesia. METHODS:With Ethical Committee approval and patient consent, 120 patients undergoing lower limb surgery were placed in the lat...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1098-7339(99)90130-x

    authors: Casati A,Fanelli G,Aldegheri G,Colnaghi E,Casaletti E,Cedrati V,Torri G

    更新日期:1999-05-01 00:00:00

  • Enhancement of axillary brachial plexus block anesthesia by coadministration of neostigmine.

    abstract:BACKGROUND AND OBJECTIVES:The acetylcholinesterase inhibitor neostigmine has shown peripherally mediated analgesic action in recent preclinical and clinical studies. The present study investigates the effectiveness of adding neostigmine to a local anesthetic, mepivacaine, in patients receiving axillary brachial plexus ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1098-7339(99)90005-6

    authors: Bone HG,Van Aken H,Booke M,Bürkle H

    更新日期:1999-09-01 00:00:00

  • Minimal blocking concentrations of bupivacaine and procaine in an exclusively nociceptive system in humans.

    abstract:BACKGROUND AND OBJECTIVES:Prior to this investigation, there was no approach to compare both the potency of local anesthetics and their time course of action in a reproducible nociceptive system in humans. We tested whether the vascularly isolated vein segment is appropriate for such an approach. METHODS:In six health...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(99)90105-0

    authors: Holthusen H,Lipfert P,Klement W

    更新日期:1999-07-01 00:00:00

  • A Randomized Comparison Between Single- and Triple-Injection Subparaneural Popliteal Sciatic Nerve Block.

    abstract:BACKGROUND AND OBJECTIVES:This prospective randomized trial compared ultrasound-guided single-injection (SI) and triple-injection (TI) subparaneural popliteal sciatic nerve block. We hypothesized that multiple injections are not required when local anesthetic (LA) is deposited under the paraneurium because the latter e...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AAP.0000000000000253

    authors: Tiyaprasertkul W,Bernucci F,González AP,Leurcharusmee P,Yazer MS,Techasuk W,Arnuntasupakul V,de la Garza DC,Finlayson RJ,Tran DQ

    更新日期:2015-07-01 00:00:00

  • Respiratory impact of analgesic strategies for shoulder surgery.

    abstract::Shoulder surgery is associated with significant postoperative pain in many patients. The use of an interscalene nerve block offers good analgesia but is associated with a high incidence of an ipsilateral phrenic nerve block. Several strategies to avoid this adverse effect have been studied. Possible strategies are (1)...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e318272195d

    authors: Verelst P,van Zundert A

    更新日期:2013-01-01 00:00:00

  • Risk Factors for and Prediction of a Difficult Neuraxial Block: A Cohort Study of 73,579 Patients from the Danish Anaesthesia Database.

    abstract:BACKGROUND:A difficult neuraxial block (DNB) may be associated with complications. The aims of this study were to estimate the prevalence of DNB, assess patient-related and organizational factors associated with DNB, and evaluate the diagnostic accuracy of an accumulated risk score for predicting DNB. METHODS:A consec...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000293

    authors: Stendell L,Lundstrøm LH,Wetterslev J,Itenov TS,Rosenstock CV

    更新日期:2015-09-01 00:00:00

  • Interscalene block with a nerve stimulator: a deltoid motor response is a satisfactory endpoint for successful block.

    abstract:BACKGROUND AND OBJECTIVES:The interscalene brachial plexus block (ISB) is an effective and well-established anesthetic technique for shoulder surgery. Using nerve stimulation as an aid in block placement, a motor response (twitch) in the biceps or a more distal upper limb muscle has been recommended to indicate accurat...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章

    doi:10.1053/rapm.2000.7597

    authors: Silverstein WB,Saiyed MU,Brown AR

    更新日期:2000-07-01 00:00:00

  • Efficacy of oral mexiletine for neuropathic pain with allodynia: a double-blind, placebo-controlled, crossover study.

    abstract:BACKGROUND AND OBJECTIVES:Mexiletine is an oral sodium channel antagonist that has been reported to be effective in a variety of neuropathic pain syndromes. However, recent reports question the efficacy of oral mexiletine in neuropathic pain. The objectives of this study were to examine the effect of oral mexiletine on...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/rapm.2000.8583

    authors: Wallace MS,Magnuson S,Ridgeway B

    更新日期:2000-09-01 00:00:00

  • Evidence basis for the use of ultrasound for upper-extremity blocks.

    abstract::This article qualitatively assesses and summarizes randomized, controlled studies regarding benefits of ultrasound (US) for brachial plexus block and also examines those studies that have compared different brachial plexus block techniques using US.Studies were identified by a search of PUBMED and EMBASE databases usi...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0b013e3181d25675

    authors: McCartney CJ,Lin L,Shastri U

    更新日期:2010-03-01 00:00:00

  • Doppler measurement of the changes of fetal umbilical and middle cerebral artery velocimetric indices during continuous epidural labor analgesia.

    abstract:OBJECTIVE:Although complications of the epidural technique are known to affect the fetus adversely, there are no data indicating that regional analgesia directly causes harmful effects to the fetus. Our purpose was to determine the effect of epidural labor analgesia on the Doppler velocimetric indices of the uterine an...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e31820d4334

    authors: Chen LK,Yang YM,Yang YH,Lee CN,Chen SS,Sun WZ

    更新日期:2011-05-01 00:00:00

  • Minimum current requirements for epidural stimulation test confirmation of epidural and intrathecal catheter placement.

    abstract:BACKGROUND AND OBJECTIVES:The typical blind insertion of a catheter into the epidural space risks catheter misplacement into the intrathecal space. The epidural stimulation test is designed to confirm the correct epidural location of a catheter but may also detect unintended intrathecal catheter placement by evaluating...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/aap.0b013e3181bfbe1e

    authors: Sutherland MA,Viscomi CM,Dominick TS,Anderson EL

    更新日期:2009-11-01 00:00:00

  • Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation: Neuromodulation of the Sciatic Nerve for Postoperative Analgesia Following Ambulatory Foot Surgery, a Proof-of-Concept Study.

    abstract:BACKGROUND AND OBJECTIVES:Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain the day following knee surg...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000819

    authors: Ilfeld BM,Gabriel RA,Said ET,Monahan AM,Sztain JF,Abramson WB,Khatibi B,Finneran JJ 4th,Jaeger PT,Schwartz AK,Ahmed SS

    更新日期:2018-08-01 00:00:00

  • Spinal anesthesia for postpartum tubal ligation after pregnancy complicated by preeclampsia or gestational hypertension.

    abstract:BACKGROUND AND OBJECTIVES:The American College of Obstetricians & Gynecologists has opposed postpartum tubal ligation (PPTL) in patients whose pregnancies have been complicated by a medical condition, including hypertension. A prospective study was conducted to assess the appropriateness of spinal anesthesia for PPTL i...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2000.0250170

    authors: Suelto MD,Vincent RD Jr,Larmon JE,Norman PF,Werhan CF

    更新日期:2000-03-01 00:00:00

  • An injection from the past: fluoroscopic evidence of remote injections of radiopaque substances.

    abstract:OBJECTIVE:Although uncommon, residual effects from contrast agents used more than 2 decades ago are possible. This case report is to alert clinicians to the implications of residual oil-based ionic contrast agents in the intrathecal space. CASE REPORT:A 70-year-old female with evidence of degenerative disc disease und...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2005.07.193

    authors: Navani A,Dominguez CL,Hald JK,Fishman SM

    更新日期:2006-01-01 00:00:00

  • The Use of Regional or Neuraxial Anesthesia for Below-Knee Amputations May Reduce the Need for Perioperative Blood Transfusions.

    abstract:BACKGROUND AND OBJECTIVES:Amputations of the lower extremity remain a common procedure in a high-risk population. Perioperative morbidity and mortality reach as high as 14.1% in below-knee amputations. We aimed to determine whether regional, or neuraxial, anesthesia, when compared with general anesthesia (GA), would be...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000687

    authors: Malik O,Brovman EY,Urman RD

    更新日期:2018-01-01 00:00:00

  • A randomized comparison between ultrasound-guided and landmark-based superficial cervical plexus block.

    abstract:BACKGROUND:This prospective, randomized, observer-blinded study compared ultrasound guidance and the conventional landmark-based technique for superficial cervical plexus blockade. METHODS:Forty patients were randomly allocated to receive a block of the superficial cervical plexus using ultrasound guidance (n = 20) or...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0b013e3181faa11c

    authors: Tran DQ,Dugani S,Finlayson RJ

    更新日期:2010-11-01 00:00:00

  • Future considerations for pharmacologic adjuvants in single-injection peripheral nerve blocks for patients with diabetes mellitus.

    abstract::As the epidemics of obesity and diabetes expand, there are more patients with these disorders requiring elective surgery. For surgery on the extremities, peripheral nerve blocks have become a highly favorable anesthetic option when compared with general anesthesia. Peripheral blocks reduce respiratory and cardiac stre...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0b013e3181ac9e42

    authors: Williams BA,Murinson BB,Grable BR,Orebaugh SL

    更新日期:2009-09-01 00:00:00

  • Reporting functional outcome after knee arthroplasty and regional anesthesia: a methodological primer.

    abstract::The introduction of ultrasound guidance for regional anesthesia has resulted in an explosion of interest in its use for postoperative analgesia, particularly for orthopedic surgery. Regional anesthesia demonstrates unequivocal superiority compared with systemic opioids with respect to analgesia, reduced opioid consump...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e318295d973

    authors: Choi S,Trang A,McCartney CJ

    更新日期:2013-07-01 00:00:00

  • Evaluation of peripheral morphine analgesia for lumpectomy and axillary node dissection: a randomized, double-blind, placebo-controlled study.

    abstract:BACKGROUND AND OBJECTIVES:Morphine may elicit potent antinociceptive effects by binding and activating peripheral opioid receptors. However, the results in clinical studies have varied. We examined the postoperative analgesic effects of incisional morphine in patients undergoing lumpectomies and axillary node dissectio...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1098-7339(99)90075-5

    authors: Yarussi A,Sands R,Edge S,Lema MJ,de Leon-Casasola OA

    更新日期:1999-03-01 00:00:00

  • Perioperative research fellowship: planning, implementation, experience.

    abstract::Perioperative outcomes research has gained widespread interest and is viewed as increasingly important among different specialties, including anesthesiology. Outcomes research studies serve to help in the adjustment of risk, allocation of resources, and formulation of hypotheses to guide future research. Pursuing high...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0000000000000110

    authors: Memtsoudis SG,Mazumdar M,Stundner O,Hargett MJ

    更新日期:2014-09-01 00:00:00

  • Objective assessment of manual skills and proficiency in performing epidural anesthesia--video-assisted validation.

    abstract:BACKGROUND AND OBJECTIVES:Demand is growing for objective assessment of manual skills and competencies of invasive procedures. The aim of this study was to validate an objective tool for assessing residents' skill in performing epidural anesthesia by use of a global assessment scale and a 3-scale, 27-stage checklist. W...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2006.04.006

    authors: Friedman Z,Katznelson R,Devito I,Siddiqui M,Chan V

    更新日期:2006-07-01 00:00:00

  • Ultrasound-guided sciatic nerve block in overweight and obese patients: a randomized comparison of performance time between the infragluteal and subgluteal space techniques.

    abstract:BACKGROUND AND OBJECTIVES:Despite ultrasound (US) guidance, sciatic nerve block (SNB) remains among the least performed peripheral blocks. By targeting the tissue plane between the gluteus maximus and quadratus femoris muscles, the US-guided subgluteal space technique may facilitate the performance of US-guided SNB. We...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000016

    authors: Abdallah FW,Chan VW,Koshkin A,Abbas S,Brull R

    更新日期:2013-11-01 00:00:00

  • Preparing for the physician payment sunshine act.

    abstract::In March of 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act, ushering in an era of health care reform. Section 6002 of the bill, the Physician Payment Sunshine Act, requires manufacturers of drugs, devices, biological therapeutics, and medical supplies to disclose to the Cen...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000074

    authors: Dickerson DM,Naidu RK

    更新日期:2014-05-01 00:00:00

  • Diaphragm-sparing nerve blocks for shoulder surgery, revisited.

    abstract::Although interscalene brachial plexus block (ISB) remains the gold standard for analgesia after shoulder surgery, the inherent risks of ipsilateral phrenic nerve block and hemidiaphragmatic paralysis (HDP) limit its use in patients with preexisting pulmonary compromise. In a previous Daring Discourse (2017), our resea...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2019-100908

    authors: Tran DQ,Layera S,Bravo D,Cristi-Sanchéz I,Bermudéz L,Aliste J

    更新日期:2019-09-20 00:00:00

  • Chloroprocaine versus prilocaine for spinal anesthesia in ambulatory knee arthroscopy: a double-blind randomized trial.

    abstract:BACKGROUND:In ambulatory lower limb surgery, spinal anesthesia with rapid onset and a short duration of block is preferable. We hypothesized that the use of 2-chloroprocaine would be associated with a faster motor block recovery compared with prilocaine in knee arthroscopy. A difference of 15 min was considered clinica...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2019-100673

    authors: Wesselink E,Hurk GJD,Vegt RV,Slagt C,Aa JV,Franssen E,Ven PV,Swart N,Boer C,Leeuw M

    更新日期:2019-08-21 00:00:00

  • Antinociceptive and motor-blocking action of epidurally administered IQB-9302 and bupivacaine in the dog.

    abstract:BACKGROUND AND OBJECTIVES:The aim of this study was to compare the antinociceptive and motor-blocking effects of epidurally administered IQB-9302 (C18H26N2O.HCl) and bupivacaine in the dog. METHODS:Twelve adult female Beagle dogs were used. Each animal received 3 concentrations (0.25%, 0.50%, and 0.75%) of either IQB-...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:

    authors: Gómez de Segura IA,Vazquez I,De Miguel E

    更新日期:2000-09-01 00:00:00

  • Influence of lumbar spine pathology on the incidence of paresthesia during spinal anesthesia.

    abstract:BACKGROUND AND OBJECTIVES:Paresthesia occasionally occurs during dural puncture or injection of local anesthetic for spinal anesthesia. Although the incidence of neurologic complications after spinal anesthesia is extremely low, the significance of paresthesia is unknown. The influence of known lumbar spine pathology o...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(98)90081-5

    authors: Tetzlaff JE,Dilger JA,Wu C,Smith MP,Bell G

    更新日期:1998-11-01 00:00:00

  • Dislocation of a femur fracture after femoral nerve block.

    abstract:OBJECTIVE:Femoral nerve block (FNB) is increasingly used as an analgesic modality in patients with femoral fracture both in the emergency department and preoperatively. We describe an occurrence of unexpected dislocation of the fracture after FNB. CASE REPORT:An FNB was administered to treat pain in a 48-year-old pati...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000049

    authors: Marić S,Robinson A,Vandepitte C,Hadzic A

    更新日期:2014-03-01 00:00:00

  • Evaluation of the iPACK block injectate spread: a cadaveric study.

    abstract:BACKGROUND AND OBJECTIVES:Ultrasound-guided infiltration of the interspace between the popliteal artery and capsule of the knee (iPACK) block, a new regional analgesic technique, is believed to relieve posterior knee pain, after total knee arthroplasty, by targeting the articular branches innervating posterior aspect o...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2018-100355

    authors: Tran J,Giron Arango L,Peng P,Sinha SK,Agur A,Chan V

    更新日期:2019-05-06 00:00:00

  • A Prospective Randomized Comparative Trial of Targeted Steroid Injection Via Epidural Catheter Versus Standard C7-T1 Interlaminar Approach for the Treatment of Unilateral Cervical Radicular Pain.

    abstract:BACKGROUND AND OBJECTIVES:No study has compared cervical interlaminar epidural steroid injection (CIESI) with epidural catheter advancement to the side and level of pathology versus standard C7-T1 CIESI. This study investigated whether cervical radicular pain is more effectively treated by CIESI with a targeted epidura...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000521

    authors: McCormick ZL,Nelson A,Bhave M,Zhukalin M,Kendall M,McCarthy RJ,Khan D,Nagpal G,Walega DR

    更新日期:2017-01-01 00:00:00