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[Local complications after axillary block anesthesia].

P J Regnard, P Soichot, J P Ringuier

    Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
    |January 1, 1990
    PubMed
    Summary
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    Axillary block is a reliable procedure, but intraneural injection can cause epineural fibrosis. Careful technique, avoiding intraneural injection and multiple punctures, prevents this rare complication.

    Area of Science:

    • Anesthesiology
    • Surgical Complications

    Background:

    • Axillary block is a common regional anesthesia technique for hand and upper extremity surgery.
    • Potential complications, though rare, necessitate thorough understanding and prevention strategies.

    Observation:

    • A case of severe epineural fibrosis treated post-axillary block, likely due to intraneural lidocaine injection.
    • Surgical release of the fibrosis resulted in a good long-term outcome.

    Findings:

    • A subsequent study involving 14 hand surgeons identified very few similar cases, confirming the rarity of this complication.
    • The study reinforced the high reliability of the axillary block technique when performed correctly.

    Implications:

    • Knowledge of potential local complications, such as epineural fibrosis, is crucial for practitioners.

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  • Strict adherence to proper axillary block technique, specifically avoiding intraneural injections and excessive nerve stimulation, is essential for patient safety.