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Anesth Analg 2004;98:1284-1285
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000108961.49473.11

PEDIATRIC ANESTHESIA

Transient Vascular Insufficiency After Axillary Brachial Plexus Block in a Child

Ravindra Bhat, MD DA, DNB (Anes)

From Ganga Hospital, Swarnambika Layout, Ramnagar, Coimbatore, India

Address correspondence and reprint requests to Ravindra Bhat, MD, DA, DNB, Consultant Anaesthesiologist, Ganga Hospital, Swarnambika Layout, Ramnagar, Coimbatore 641009 India. Address email to chitravi{at}vsnl.com

Axillary block is used in children for procedures on the hand and forearm. We report on a child with an amputation of the thumb in whom an axillary block was given, after which the limb became pale and pulseless. The pulses returned spontaneously in 15 min. The awareness of this possibility and chances of spontaneous recovery should be considered.

IMPLICATIONS: Transient vascular insufficiency of the upper limb may happen as a rare complication after axillary block. Knowledge of this complication can help the anesthesiologist in the management of this problem.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2004 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.