Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2009 Aug;25(8):455-9. doi: 10.1016/S1607-551X(09)70542-X.
Two important issues after a complete right forearm amputation are replantation and ongoing pain management. There are no reports of successful forearm replantation as a consequence of a crocodile bite. Here, we discuss our pain management in a case of complete forearm amputation after a bite from a saltwater crocodile (Crocodylus porosus), which necessitated six further operations to achieve successful replantation. Continuous infraclavicular brachial plexus block was effective for acute pain control in this case. We strongly recommend performing the block with an indwelling catheter under ultrasound guidance for higher accuracy and safety.
完全性右前臂离断伤后有两个重要问题，即再植和持续的疼痛管理。目前尚无因鳄鱼咬伤而成功再植前臂的报道。在此，我们讨论了 1 例因咸水鳄（Crocodylus porosus）咬伤导致完全性前臂离断伤后疼痛管理的病例，该病例需要进行 6 次手术才能成功再植。连续锁骨下臂丛神经阻滞在该病例中对急性疼痛控制有效。我们强烈建议在超声引导下使用留置导管进行阻滞，以提高准确性和安全性。
