Key result
The combination of monolateral spinal anesthesia and prolonged brachial plexus block provided autonomous stability of heart rhythm, local sympatholysis, and significant improvement in circulation and analgesia.
Why the study?
Does the combination of monolateral spinal anesthesia and prolonged brachial plexus block improve circulation and analgesia in children undergoing autotransplantation of toes to the wrist?
Observational (n=65)
Does the combination of monolateral spinal anesthesia and prolonged brachial plexus block improve circulation and analgesia in children undergoing autotransplantation of toes to the wrist?
The combination of monolateral spinal anesthesia and prolonged brachial plexus block improves circulation and analgesia in children undergoing toe-to-hand autotransplantation.
May support combined regional anesthesia in pediatric microsurgery; leaves open confirmation in controlled trials before adoption.
Intraoperative combination of monolateral spinal anesthesia and prolonged brachial plexus block is evaluated in 65 children with autotransplantation of fingers from foot to hand. Variability of heart rhythm demonstrated autonomous stability in the main group. Dynamical study of skin temperature and dopplerographic evaluation demonstrated local sympatholysis in the blocked extremity. Significant improvement of circulation and quality of analgesia is revealed in case of prolonged perineural use of local anesthetics in the postoperative period. Described combination of intra- and postoperative treatment of such patients makes complex treatment more effective.
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Zabolotsky et al. (2010) conducted an observational in Congenital and posttraumatic pathology requiring toe-to-hand autotransplantation (n=65). Monolateral spinal anesthesia and prolonged brachial plexus block was evaluated on Circulation improvement and quality of analgesia. The combination of monolateral spinal anesthesia and prolonged brachial plexus block provided autonomous stability of heart rhythm, local sympatholysis, and significant improvement in circulation and analgesia.
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