INSUFFICIENT VENOUS DRAINAGE FOLLOWING AXILLARY APPROACH TO BRACHIAL PLEXUS BLOCKADE |
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Authors: | RESTELLI L; PINCIROU D; CONOSCENTE F; CAMMELLI F |
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Institution: | Second Service of Anaesthesia and Pain Relief Unit, Legnano General Hospital Via Candiani 2, 20025 Legnano, Milano, Italy
Department of Nuclear Medicine. Legnano General Hospital Via Candiani 2, 20025 Legnano, Milano, Italy |
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Abstract: | Progressive obstruction of an axillary vein following an axillaryapproach to brachial plexus blockade is described. At surgicalexploration, the axillary vein was narrowed with an aneurysmof its wall. It is likely that, during the performance of theblock, the needle penetrated the adventitia of the vein, causinga sub-adventitial haematoma and an aneurysm of the vein wall.Normal venous drainage was re-established surgically and thepatient recovered completely |
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