Key result
Axillary brachial plexus block in a child resulted in transient vascular insufficiency with the limb becoming pale and pulseless, which resolved spontaneously in 15 minutes.
Case Report (n=1)
Transient vascular insufficiency is a rare but spontaneously resolving complication of axillary block in children.
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Warrants vigilance for transient ischemia during pediatric axillary blocks; leaves open true incidence and prevention strategies.
UNLABELLED: 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.
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Ravindra Bhat (2004) conducted a case report in Amputation of the thumb (n=1). Axillary brachial plexus block was evaluated on Transient vascular insufficiency. Axillary brachial plexus block in a child resulted in transient vascular insufficiency with the limb becoming pale and pulseless, which resolved spontaneously in 15 minutes.
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