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Technique of Wide-Awake Local Anesthesia No Tourniquet Injection for a Transradial Forearm Amputation in an Ischemic
Shalimar Abdullah1, Amir Adham Ahmad1, Afif Abdul Latiff1
1Department of Orthopaedics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Abstract:
A 48-year-old man with drug addiction presented with gangrene of the right hand following an inadvertent intra-arterial administration of crushed dihydrocodeine tartrate (DF 118) tablets (GlaxoSmithKline S.A.) dissolved in water; the solution was injected into his right antecubital fossa. After 3 weeks of pain, paresthesia, and cyanosis, his right hand became gangrenous. We performed a right forearm amputation by use of the wide-awake local anesthesia no tourniquet technique. After surgery, his wound healed well, and he was successfully fitted with a hand prosthesis.
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