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http://dx.doi.org/10.4097/kja.19294 | DOI Listing |
Cureus
December 2023
Anesthesiology, Intensive Care and Emergency Department, Centro Hospitalar Universitário de Santo António, Porto, PRT.
The retroclavicular approach to the infraclavicular region (RAPTIR) is a recently described locoregional technique for upper limb analgesia that offers advantages over the classic infraclavicular block. RAPTIR is considered an effective and easy-to-perform block associated with few complications and better patient comfort. We present a case of a critically ill patient with thoracic and upper limb trauma.
View Article and Find Full Text PDFPain Physician
October 2023
Anesthesia and Intensive Care Department, Faculty of Medicine, Minia University, Egypt.
Background: Regional anesthesia for an upper limb provides many advantages over general anesthesia, especially in orthopedic surgery.
Objectives: This trial aimed to compare a retroclavicular approach to the infraclavicular brachial plexus with a costoclavicular approach in term of needle time, image time, and procedure time, and comparing both with the classic technique for upper limb surgeries guided by ultrasound.
Study Design: Prospective, randomized, single-blinded controlled trial.
JBJS Case Connect
April 2023
Department of Orthopaedic Surgery, Upper Limb Surgery Unit, Hospital Lapeyronie, CHU Montpellier, Montpellier, France.
A 79-year-old right-handed woman presented with an indirect trauma to her left shoulder after a fall down the stairs. X-rays and computed tomography showed a four-part glenohumeral fracture-dislocation with a subcutaneous ectopic location of the humeral head in the retroclavicular space. A reverse total shoulder arthroplasty was performed using a deltopectoral approach with direct superior extraction of the humeral head.
View Article and Find Full Text PDFJ Emerg Med
July 2022
Department of Emergency Medicine, Mount Sinai Medical Center, Miami Beach, Florida.
Background: Shoulder dislocations are a common presenting injury to the emergency department (ED), with anterior dislocations comprising the majority of these cases. Some patients may tolerate gentle manipulation and reduction, but many require analgesia of some type. Oral or parenteral pain medication is often used alone or in combination with procedural sedation if gentle manipulation fails to achieve reduction.
View Article and Find Full Text PDFAgri
April 2021
Department of Anaesthesiology and Reanimation, Başkent University Faculty of Medicine, Konya, Turkey.
Infraclavicular block provides adequate anesthesia to the arm, forearm, and antecubital region. There are many different approaches to infraclavicular brachial plexus block. Corocoid approach which is mostly preferred is not appropriate in some cases that needle orientation disappear.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!