Author/Editor		Kalan, K; Spindler-Vesel, A; Diallo-Renko, D; Starc, B
Title		Področna anestezija za kirurgijo roke na Kliničnem oddelku za plastično kirurgijo in opekline Kliničnega centra v Ljubljani
Translated title		Regional anaesthesia for hand surgery at the Clinical department for plastic surgery and burns in University medical centre Ljubljana
Type		članek
Source		In: Vintar N, Lopuh M, editors. Zbornik predavanj 3. slovenski kongres anesteziologov Slovenije z mednarodno udeležbo; 2001 okt 11-13; Bled. Ljubljana: Slovensko zdravniško društvo, Slovensko združenje za anesteziologijo in intenzivno medicino,
Publication year		2001
Volume		str. 228-38
Language		slo
Abstract		Background. The aim of the study was to estimate the efficiency of techniques for regional anaesthesia for hand surgery and the freqency of complicatons with patients, who have been operated at the Clinical department for plastic surgery and burns. Methods. A retrospective study involved patients who had hand surgery in regional anaesthesia between May 1st, 1999 and April 30rd, 2001 at the Clinical Department for Plastic Surgery and Burns. Surgeries have been performed in intravenous regional anaesthesia or axillary block. Lidocaine was used for intravenous regional anaesthesia and ropivacaine or mepivacaine for axillary block. Results. Intravenous regional anaesthesia was succesfull 10 minutes after application of local anaesthetic in majority of cases: Pain under Tourniquet appeared in 12%. Besides pain under Tourniquet, in 3% we noticed also the appearance of arfiythmias (single extrasystoles, bigeminus, bradycarždia) and hypertension. Once, first attempt of anaesthesia was not successful becouse of paravascular application. When performing axillary block, toxic effects of local .anaesthetic appeared once. In 16%, the axillary block was unsuccesful and the operation had to be finished in general anaesthesia. In 13%; the axillary block was partially succesful and it had to be supplemented with peripheral nerve blocks in the elbow or wrist. In 14%, an additional analgetic was required. Conclusions. Intravenous regional anaesthesia and axillary block are suitable and safe techniques for regional anaesthesia for hand surgery. The review had shown that our results are comparable to the results from other centres. There was only a small difference in the number of unsuccesful axillary blocks. The reasons could be a smaller number of patients or the fact that the blocks were performed by trainees.
Descriptors		ANESTHESIA, CONDUCTION ARM ANESTHETICS, LOCAL LIDOCAINE POSTOPERATIVE COMPLICATIONS