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Papers of the Week

2022 Jan




Recurrented bilateral low-dose regional anesthesia under ultrasound guidance rather than general anesthesia in a high-risk patient: Rare a case.


Regional anesthesia practices are important because they have the advantages, for example, the patient's awareness is open, spontaneous breathing continues, airway reflexes are preserved, analgesia continues in the post-operative period, and the patient has early mobilization. Local anesthetic at high doses and volumes are used in brachial plexus blocks with nerve stimulator. However, due to the development in ultrasound (US) technology and the increase in image quality, reduced dose of limited anesthesia, and because of its advantages such as vascular and reduced risk of pleural puncture, it has become increasingly widespread. Through US, it is possible to monitor the nerves and anatomical structures, to follow the needle, and to reduce the dose by monitoring the distribution of the local anesthetic given. Organ and tissue losses and tissue infections due to multiple exothermic burns, especially after burns, require multiple surgical procedures. While taking these patients to surgery, anesthesiologists may have difficulty in many stages. For this purpose, they prefer regional anesthesia for less complications. In our study, we aimed to present a low-dose bilateral supraclavicular, infraclavicular, and axillary block with US-guided paraplegic high-risk trauma in a patient with bilateral wounds, forearms, wrists, and wounds caused by burns.