, Seon-Yi Lee, Daeun Ko, Junbeom Park, Sowoon Ahn, Chunghyun Park Brugada syndrome is an arrhythmic syndrome characterized by right bundle branch block, ST segment elevation in the precordial lead (V1-V3), and sudden death caused by ventricular fibrillation, which is not effectively prevented by anti-arrhythmic drug therapy. We are reporting a 30-year-old male patient with Brugada syndrome who got an exploratory laparotomy and a tenorrhaphy due to stab wound which was managed with general anesthesia and brachial plexus block without any complications.
Axillary block is a common anesthetic technique for operation on the hand and forearm. Many variations of the axillary approach have been described. Therefore we studied the results obtained when the axillary approach to brachial plexus blockade is attempted utilizing peripheral nerve stimulation(PNS).
Axillary brachial plexus block with PNS(0.5mA, 2Hz) was used in 30 adult patients undergoing hand and forearm surgery. 20ml of 1.5% lidocaine and 20ml of 0.375% bupivacaine solution was injected. A pin prick test was performed at 5, 10, 15, 20, 25 and 30 min. and quality of the clock in the distribution of 7 peripheral nerve of the brachial plexs was evaluated.
Block were 28 cases(93.3%) including 6 cases(20%) of incomplete block and total failure were 2 cases. Average number of blocked peripheral nerve of upper extrmity was 4.4±1.7. The order of rate of block was medial cutaneous n. of forearm, ulnar n., medial cutaneous n. of arm, median n., radial n., musculocutaneous n. and axillary n..
We found that a PNS can be utilized to establish blockade of the upper extrimity, but the success rate is not different than other methods, But it is appropriate for blocks established by beginner without complication.
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