The anatomical variation to be considered in upper extremity blocks: Double Axillary Vein

Uysal, Ali İhsan; Tarakçi, Eylem; Altıparmak, Başak; Demirbilek, Semra; Özcan, Metin

doi:10.5505/agri.2016.19870

Cited by 1 publication

(2 citation statements)

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“…Other than these, the current literature contains a single case report to represent detection of double axillary veins during peripheral nerve block intervention under ultrasound guidance, and another report describing a double axillary vein variation preoperatively diagnosed by CT 8 9. In these reports, the authors highlighted the importance of detailed knowledge of the axillary anatomy to avoid complications such as intravascular injection of local anaesthetics during peripheral nerve block interventions or injury to the vessels and nerves during surgical axillary dissection 5–8. Uysal et al reported that the use of hydro-location technique provided a safer area during infraclavicular nerve block intervention of a patient with double axillary vein 8.…”

Section: Discussionmentioning

confidence: 99%

“…In these reports, the authors highlighted the importance of detailed knowledge of the axillary anatomy to avoid complications such as intravascular injection of local anaesthetics during peripheral nerve block interventions or injury to the vessels and nerves during surgical axillary dissection 5–8. Uysal et al reported that the use of hydro-location technique provided a safer area during infraclavicular nerve block intervention of a patient with double axillary vein 8. Hydro-location technique is a principle to locate needle-tip by using ultrasound liquid detection.…”

Section: Discussionmentioning

confidence: 99%

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Double axillary vein variation diagnosed with ultrasound guidance during infraclavicular nerve block intervention

et al. 2019

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The use of ultrasound guidance increases the safety of peripheral block interventions by allowing anaesthesiologists to simultaneously see the position of block needle, the targeted nerves and surrounding vessels. In this report, we represented three patients diagnosed with double axillary vein variation with ultrasound guidance during infraclavicular nerve block intervention. The patients were scheduled for different types of upper limb surgeries. All patients received infraclavicular nerve block for anaesthetic management. A double axillary vein variation was diagnosed with ultrasound during block interventions. Hydro-location technique was used in all cases and the procedures were completed uneventfully. In the current literature, there is limited number of reports concerning double axillary vein variation. Detailed knowledge of the axillary anatomy is important to avoid complications such as intravascular injection during peripheral nerve block interventions. The use of ultrasound guidance and hydro-location technique should be considered for nerve blocks, especially in the axillary area.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%