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Oberarmkorrekturosteotomie bei einem Patienten mit McCune-Albright-Syndrom unter perivaskulärer axillärer Plexusanästhesie nach Weber

Corrective osteotomy of the humerus using perivascular axillary anesthesia according to Weber in a patient suffering from McCune-Albright syndrome

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Zusammenfassung

Bei einem 20-jährigen Patienten mit McCune-Albright-Syndrom und respiratorischer Globalinsuffizienz mit Dauermaskenbeatmung musste eine Intubationsnarkose vermieden werden. Zur operativen Korrektur einer schwergradigen Oberarmfehlstellung erfolgte eine perivaskuläre axilläre Plexusanästhesie nach Weber. Mit der Lagerung des Patienten auf die nichtbetroffene Seite und Kopftieflagerung von 15° (modifizierte Lagerungstechnik) konnte eine Ausbreitung der Analgesie bis auf die Oberarmregion erreicht werden.

Abstract

We report on a 20-year-old patient with McCune-Albright syndrome suffering from global respiratory insufficiency who required continuous mask ventilation and where intubation had to be avoided. Perivascular axillary anesthesia according to Weber was performed for a double corrective osteotomy of the humerus. During plexus anesthesia the patient was positioned on the non-anesthesized side in a 15° Trendelenburg position. An extension of analgesia was observed up to the complete upper arm region. Using the modified positioning an extension of brachial plexus anesthesia is possible.

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Literatur

  1. Borgeat A, Ekatodramis G, Dumont C (2001) An evaluation of the infraclavicular block via a modified approach of the Raj technique. Anesth Analg 93: 436–441

    CAS  PubMed  Google Scholar 

  2. Büttner J, Klose R (1991) Alkalisierung von Mepivacain zur axillären Katheterplexusanaesthesie. Reg Anaesth 14:17–24

    Google Scholar 

  3. Büttner J, Klose R, Dreesen H (1987) Vergleichende Untersuchung von Prilocain 1% und Mepivacain 1% zur axillären Plexusanaesthesie. Reg Anaesth 10:70–75

    Google Scholar 

  4. Büttner J, Kemmer A, Argo A (1988) Axilläre Blockade des Plexus brachialis. Reg Anaesth 11:7–11

    Google Scholar 

  5. Danon M, Crawford JD (1987) Das McCune-Albright-Syndrom. Ergeb Inn Med Kinderheilkd 55:81–115

    CAS  PubMed  Google Scholar 

  6. Krebs P (1987) Die hohe kontinuierliche axilläre Plexus-brachialis-Anästhesie. Reg Anaesth 10:1–15

    CAS  PubMed  Google Scholar 

  7. Langer RA, Yook I, Capan LM (1995) Anesthetic considerations in McCune-Albright syndrome: case report with literature review. Anesth Analg 80:1236–1239

    CAS  PubMed  Google Scholar 

  8. Neal JM, Hebl JR, Gerancher JC, Hogan QH (2002) Brachial plexus anesthesia: essentials of our current understanding. Reg Anesth Pain Med 27:402–428

    Article  Google Scholar 

  9. Neuburger M, Kaiser H, Rembold-Schuster I (2001) Vertikale infraklavikuläre Plexus-brachialis Blockade. Anaesthesist 47:595–599

    Article  Google Scholar 

  10. Orlowski O, Bullmann V, Filler T, Vieth V, Weber TP (2004) Die Armplexusanästhesie mit perivaskulärem axillärem Zugangsweg: prospektive randomisierte Patientenstudie zur Beeinflussbarkeit der Ausbreitung durch Seit- und 20°-Trendelenburg- Lagerung. 68. Jahrestagung der DGOOC, Oktober, Berlin

  11. Orlowski O, Bullmann V, Vieth V, Filler T, Aken H van, Weber TP (2004) Brachial plexus anesthesia with a perivascular axillar approach: influence of a lateral position onto the anesthesized side combined with 20° Trendelenburg positioning. XXIII ESRA Congress, Greece. Reg Anesth Pain Med 29:2

    Article  Google Scholar 

  12. Orlowski O, Bullmann V, Vieth V, Filler T, Weber TP (2004) Brachial plexus anesthesia with a perivascular axillar approach: influence of lateral position onto the anesthesized side combined with 20° Trendelenburg positioning. Australian Society of Anaesthetists; 63rd National Scientific Congress, September, Sydney, Australia

    Google Scholar 

  13. Orlowski O, Bullmann V, Vieth V, Weber TP (2004) Influence of the patient’s positioning onto the non-anesthesized side combined with 20° Trendelenburg positioning on the extent of brachial plexus anesthesia. ASRA, Phoenix, Arizona, USA

  14. Reuben SS, Steinberg RB (2000) Continuous shoulder analgesia via an indwelling axillary brachial plexus catheter. J Clin Anesth 12:472–475

    Article  CAS  Google Scholar 

  15. Sala-Blanch X, Lazaro JR, Correa J, Gomez-Fernandez M (1999) Phrenic nerve block caused by interscalene brachial plexus block: effects of digital pressure and low volume of local anesthetic. Reg Anesth Pain Med 24: 231–235

    Article  CAS  Google Scholar 

  16. Selander D (1977) Catheter technique in axillary plexus block. Acta Anaesth Scand 21:324–329

    Article  CAS  Google Scholar 

  17. Vester-Andersen T, Christiansen C, Sörensen M, Kaal HO, Jörgensen HO, Saugbjerg P, Schulz-Möller K (1983) Perivascular axillary block II: influence of injected volume of local anaesthetic of neural blockade. Acta Anaesthesiol Scand 27:95–98

    Article  CAS  Google Scholar 

  18. Vester-Andersen T, Eriksen C, Christiansen C (1984) Perivascular axillary block III: blockade following 40 ml of 0.5%, 1% or 1.5% mepivacaine with adrenaline. Acta Anaesthesiol Scand 28:95–98

    Article  CAS  Google Scholar 

  19. Vester-Andersen T, Husum B, Lindeburg T, Borrits L, Gothgen I (1984) Perivascular axillary block IV: blockade following 40, 50 or 60 ml mepivacaine 1% adrenaline. Acta Anaesthesiol Scand 28:99–105

    Article  CAS  Google Scholar 

  20. Vieth V, Talbot D, Bullmann V, Orlowski O, Filler T, Weber TP (2004) Influence of positioning on the dispersion of liquids at brachial plexus. XXIII Annual ESRA Congress, Greece. Reg Anesth Pain Med 29:2

    Article  Google Scholar 

  21. Vieth V, Talbot D, Orlowski O, Bullmann V, Filler T (2004) Influence of positioning on the dispersion of liquids at brachial plexus: CT-controlled study on corpses fixed according to Thiel. Australian Society of Anaesthetists 63rd National Scientific Congress, September, Sydney Australia

    Google Scholar 

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Authors and Affiliations

  1. Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum, Münster

    V. Bullmann, R. Rödl & W. Winkelmann

  2. Klinik für Anästhesie und Operative Intensivmedizin, Universitätsklinikum, Münster

    R. Waurick, O. Orlowski, H. van Aken & T. P. Weber

  3. Klinik für Allgemeine Kinderheilkunde, Universitätsklinikum, Münster

    G. Hülskamp

  4. Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum, Albert Schweitzer Str. 33, 48149, Münster

    V. Bullmann

Authors
  1. V. Bullmann
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  2. R. Waurick
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  3. R. Rödl
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  4. G. Hülskamp
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  5. O. Orlowski
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  6. H. van Aken
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  7. W. Winkelmann
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  8. T. P. Weber
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Correspondence to V. Bullmann.

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Bullmann, V., Waurick, R., Rödl, R. et al. Oberarmkorrekturosteotomie bei einem Patienten mit McCune-Albright-Syndrom unter perivaskulärer axillärer Plexusanästhesie nach Weber. Anaesthesist 54, 889–894 (2005). https://doi.org/10.1007/s00101-005-0874-6

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  • DOI: https://doi.org/10.1007/s00101-005-0874-6

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