Yanal Hülya, Gürkan Yavuz, Kuş Alparslan, Balaban Onur, Solak Mine, Toker Kamil
Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Agri. 2016 Oct;28(4):190-193. doi: 10.5505/agri.2015.09327.
In recent years, brachial plexus anesthesia techniques for upper limb surgery have been used more and more commonly on children; however, the patient is typically under deep sedation or general anesthesia. For eligible, cooperative children, surgery can also be performed using regional blocks while the patient is awake. We present 5 cases in which Ultrasound (US)-guided infraclavicular brachial plexus blocks (ICB) were used on children for hand or forearm surgery. Surgical anesthesia was achieved in all patients and surgery was completed uneventfully using brachial plexus anesthesia, without need for deep sedation.
近年来，上肢手术的臂丛神经麻醉技术在儿童中越来越普遍地使用；然而，患者通常处于深度镇静或全身麻醉状态。对于符合条件且配合的儿童，手术也可以在患者清醒时使用区域阻滞进行。我们介绍5例在儿童手部或前臂手术中使用超声（US）引导下锁骨下臂丛神经阻滞（ICB）的病例。所有患者均实现了手术麻醉，并且使用臂丛神经麻醉顺利完成了手术，无需深度镇静。
