Ergün Mendeş, Aziz Yarbil, Hüseyin Göçergil, Yusuf Emeli
{"title":"根据锁骨的定位,在颈肩交界处周围阻滞中麻醉的扩散(病例系列)。","authors":"Ergün Mendeş, Aziz Yarbil, Hüseyin Göçergil, Yusuf Emeli","doi":"10.14744/agri.2021.73604","DOIUrl":null,"url":null,"abstract":"<p><p>After the brachial plexus blocks, local anesthetics do not diffuse under the clavicle and can spread to the epidural space with a cephalic tendency. We aimed to show how the local anesthetic spread will be according to the integrity of the clavicle by adding contrast agent to the peripheral blocks. We observed that the barrier created by the clavicle at the neck-shoulder junction disappeared in fracture >2 cm and the drug distribution showed a caudal transition. We think that the type and degree of clavicle fracture changes the drug diffusion and affects the success of the block.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":"34 4","pages":"308-310"},"PeriodicalIF":0.8000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Spread of anesthetics in peripheral blocks at the neck-shoulder junction according to the localization of clavicle (case series).\",\"authors\":\"Ergün Mendeş, Aziz Yarbil, Hüseyin Göçergil, Yusuf Emeli\",\"doi\":\"10.14744/agri.2021.73604\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>After the brachial plexus blocks, local anesthetics do not diffuse under the clavicle and can spread to the epidural space with a cephalic tendency. We aimed to show how the local anesthetic spread will be according to the integrity of the clavicle by adding contrast agent to the peripheral blocks. We observed that the barrier created by the clavicle at the neck-shoulder junction disappeared in fracture >2 cm and the drug distribution showed a caudal transition. We think that the type and degree of clavicle fracture changes the drug diffusion and affects the success of the block.</p>\",\"PeriodicalId\":45603,\"journal\":{\"name\":\"Agri-The Journal of the Turkish Society of Algology\",\"volume\":\"34 4\",\"pages\":\"308-310\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2022-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Agri-The Journal of the Turkish Society of Algology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14744/agri.2021.73604\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Agri-The Journal of the Turkish Society of Algology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14744/agri.2021.73604","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Spread of anesthetics in peripheral blocks at the neck-shoulder junction according to the localization of clavicle (case series).
After the brachial plexus blocks, local anesthetics do not diffuse under the clavicle and can spread to the epidural space with a cephalic tendency. We aimed to show how the local anesthetic spread will be according to the integrity of the clavicle by adding contrast agent to the peripheral blocks. We observed that the barrier created by the clavicle at the neck-shoulder junction disappeared in fracture >2 cm and the drug distribution showed a caudal transition. We think that the type and degree of clavicle fracture changes the drug diffusion and affects the success of the block.