상전신경총 차단법에 대한 임상적 고찰

• Published in: Korean journal of anesthesiology Vol. 5; no. 1; pp. 65 - 70
• Main Authors: 오흥근, Hung Kun Oh, 김종래, Jong Rae Kim, 진양화, Yang Hoa Jin, 이석하, Suk Ha Lee
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회(구 대한마취과학회) 30.06.1972
• ISSN: 2005-6419; 2005-7563

Brachial plexus block has been evaluated in 192 cases of surgery of the upper extremities performed during the past 13 years and 9 months. (from Jan. 1958 to Sept. 1971) We have assessed supraclavicular and axillary brachial plexus block using 1% to 2% procaine and lidocaine adding adrenaline case by case. The dosage given was 30 ml to 40 ml in each case There were 142 males and 50 females. In 26 blocks judged unsatisfactory for surgery, we have usually substituted inhalation anesthesia and .2 cases were supplimented with intravenous thiopental sodium, 2.5%, 3 ml to 5 ml intermittently and 4 cases with intravenous thiopental sodium and meperidine. There were 4 cases of complications of supraclavicular brachial plexus block including 2 cases of pneumothorax, one of Horners syndrome only and a cardiac arrest immediately after block. There were no complications in axillary approaches. Therefore in conclusion this brachial plexus block was a simple and useful technic in surgery and treatment of the upper extremities.