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Anesth Analg 2007;104:1285-1287
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000181832.09267.08

REGIONAL ANESTHESIA

Ultrasound-Guided Infraclavicular Block in an Anticoagulated and Anesthetized Patient

Paul E. Bigeleisen, MD

From the Department of Anesthesiology, University of Rochester School of Medicine, Strong Memorial Hospital, Rochester, New York.

Address correspondence and reprint requests to Paul E. Bigeleisen, MD, Department of Anesthesiology, Box 604, University of Rochester School of Medicine, Strong Memorial Hospital, 601 Elmwood Avenue, Rochester, NY 14642, Address e-mail to paul_bigeleisen{at}urmc.rochester.edu.

The author describes the use of ultrasound to facilitate a continuous infraclavicular brachial plexus block in a patient who had been anticoagulated with 5000 U of heparin. The procedure was done 2 h after the patient was anticoagulated, and his activated clotting time was 203 s. The patient had vascular checks with a laser Doppler monitor every hour and neurological checks every 12 h.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.