Kuş Alparslan, Gürkan Yavuz, Gök Ciğdem Nur, Solak Mine, Toker Kamil
Department of Anesthesiology and Reanimation, Kocaeli University, Turkey.
Agri. 2010 Jul;22(3):134-6.
When ultrasound (US) is used in peripheric nerve blocks, successful nerve blocks can be performed even if nerve stimulation is not possible. In this case report, we present a 37-year-old male patient, ASA physical status I, undergoing debridement and grafting for incomplete arm whose upper extremity (forearm) was amputated due to electric shock; motor response to nerve stimulation was not possible. With the help of US, lateral sagittal infraclavicular block was performed with 20 ml local anesthetic mixture (10 ml of 0.5% levobupivacaine and 10 ml 2% lidocaine with 5 mcg/ml epinephrine). After 20 minutes, the patient was ready for surgery and the operation was performed successfully.
当超声（US）用于外周神经阻滞时，即使无法进行神经刺激，也可成功实施神经阻滞。在本病例报告中，我们介绍了一名37岁的男性患者，ASA身体状况为I级，因电击导致上肢（前臂）截肢，正在接受不完全臂部清创和移植手术；无法获得对神经刺激的运动反应。在超声引导下，使用20毫升局部麻醉混合液（10毫升0.5%左旋布比卡因和10毫升2%利多卡因加5微克/毫升肾上腺素）进行锁骨下外侧矢状面阻滞。20分钟后，患者准备好接受手术，手术顺利进行。
