• A&A practice · Jul 2018

    Case Reports

    Regional Anesthesia in the Setting of Arm Replantation: A Case Report.

    • Gregory J Stevens, Steven J Durning, Samuel D Stevens, and David R Lowery.
    • From the Department of Anesthesiology, San Antonio Military Medical Center, Joint Base San Antonio, Fort Sam Houston, San Antonio, Texas.
    • A A Pract. 2018 Jul 15; 11 (2): 38-40.

    AbstractThe perioperative implementation of continuous peripheral nerve blocks is poorly described within the literature for replantation surgeries beyond digital replantation. The management of replantation patients presents a challenging balance between pain control and limb perfusion. We report the successful use of a continuous interscalene catheter in a therapeutically anticoagulated patient after midshaft humerus arm replantation. The benefits of the continuous peripheral nerve block for the patient included improved pain control and potentially improved limb perfusion making it a valuable component of this patient's treatment.

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