Hillermann T, Homburg K, Rainer M, Budde U
Institut für Anästhesiologie, Spital Bülach, Bülach, Schweiz.
Klinikbetreuung, Pharm. Dienstleistungen, Kantonsapotheke Zürich, Zürich, Schweiz.
Anaesthesist. 2022 Apr;71(4):299-302. doi: 10.1007/s00101-021-01055-x. Epub 2021 Oct 14.
A young patient experienced a generalized seizure during the placement of an axillary plexus block. The mechanisms, essentially the presumed intravascular administration, which led to the local anesthetic toxicity as the cause of this event, are discussed. This case is an example of how visualization of the anatomy by ultrasound can give a false impression when certain details are not respected. It is assumed that the main mechanism in this case was venous compression by the ultrasound transducer.
一名年轻患者在腋神经丛阻滞操作过程中发生全身性癫痫发作。本文讨论了导致该事件的机制，本质上推测是血管内给药导致局部麻醉药毒性。该病例表明，当不重视某些细节时，超声对解剖结构的可视化可能会产生错误印象。据推测，该病例的主要机制是超声换能器压迫静脉。
