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Durchtrennter Katheter in der Regionalanästhesie

Uraschen und Vorgehen bei einem axillären Plexuskatheter

Sheared catheter in regional anaesthesia

Causes and follow-up of an axiallary plexus catheter

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Zusammenfassung

Berichte über Komplikationen bei peripheren Nervenblockaden (PNB) beinhalten im Wesentlichen Intoxikationen durch Lokalanästhetika, Verletzungen von Nerven, Gefäßen und anderen umgebenden Strukturen sowie infektiologische Ereignisse. Der vorliegende Fallbericht weist auf eine Komplikation hin, über die bisher wenige Erkenntnisse vorliegen. Es handelt sich um die Durchtrennung eines Schmerzkatheters, bei der ein Teil des Katheters im Patienten verblieb. Die Ursachen und das praktische Vorgehen in dieser Situation werden diskutiert.

Abstract

In the past years intoxication with local anesthetics, damage to nerves, vessels and other accompanying structures as well as infectiological events have been discussed more and more as complications accompanying peripheral nerve blocks (PNB). The following case report highlights a complication which seems to rarely occur and deals with a sheared continuous PNB, where a fragment of the catheter remained in the patient. The possible causes for the damage are discussed and recommendations on the clinical management of such a case are made.

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Authors and Affiliations

  1. Abteilung für Anästhesie und Intensivmedizin, Berufsgenossenschaftliche Unfallklinik Murnau, Prof.-Küntscher-Str. 8, 82418 , Murnau, Deutschland

    F. Reisig, J. Breitbarth, B. Ott & J. Büttner

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  1. F. Reisig
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  2. J. Breitbarth
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  3. B. Ott
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  4. J. Büttner
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Correspondence to F. Reisig.

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Reisig, F., Breitbarth, J., Ott, B. et al. Durchtrennter Katheter in der Regionalanästhesie. Anaesthesist 60, 942–945 (2011). https://doi.org/10.1007/s00101-011-1935-7

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  • DOI: https://doi.org/10.1007/s00101-011-1935-7

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