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Related Experiment Videos

[Phantom phenomena during regional anesthesia].

D N Mihic, E Binkert

    Regional-Anaesthesie
    |April 1, 1983
    PubMed
    Summary

    Phantom phenomena, or sensations of limbs after anesthesia, varied by type. Brachial plexus anesthesia showed the highest incidence, linked to anesthetic dose, not patient factors.

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    Area of Science:

    • Anesthesiology
    • Neuroscience
    • Surgical Research

    Background:

    • Phantom phenomena, or sensations perceived in a limb after anesthesia, are documented in medical literature.
    • Understanding the incidence and influencing factors of these phenomena is crucial for patient care and anesthetic technique optimization.

    Purpose of the Study:

    • To investigate the occurrence of typical and atypical phantom phenomena following different types of regional anesthesia.
    • To identify factors influencing the incidence of phantom phenomena, including anesthetic type, dose, and patient characteristics.

    Main Methods:

    • A study involving 200 patients undergoing peripheral surgical procedures.
    • Administration of peridural (PDA), spinal (SA), and brachial plexus anesthesia (PB).
    • Data collection on patient demographics, anesthetic details, and reported phantom phenomena.

    Main Results:

    • Incidence of typical phantom phenomena: 18% (PDA), 40% (SA), 63% (PB).
    • Atypical phantom phenomena observed in 10% (PDA), 24% (SA), and 6% (PB).
    • Phantom occurrence correlated with the total dose of local anesthetic, independent of sex, age, or premedication.

    Conclusions:

    • Brachial plexus anesthesia is associated with a higher incidence of phantom phenomena.
    • The total dose of local anesthetic is a key factor in phantom phenomenon development.
    • Phantom sensations do not always correlate with the success of the anesthetic block.

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