Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Department of Anesthesia and Surgery, International committee of the Red Cross ICRC, Head Quarter HQ, Geneva, Switzerland
Case Report
Combined Unilateral Supraclavicular and Infraclavicular Brachial Plexus Blocks Anesthesia for above Elbow Amputation in Tetanus Weapon Wounded Patient in a Low Resource Context: A Case Report
Author(s): Ahmed Salman*, Aktham Elfarnawany, Alaje Tekie Bahta, Akshaya Kumar Baral, Kenneth Naetio Ozoilo and Sophie Crespo
Background: Since preventable by vaccination, tetanus is a rare condition, yet two-third of the worldwide cases of
this potentially fatal condition occur in Africa. Most tetanus cases need a surgical procedure (wound debridement
mostly), and anesthesia is challenging because of the disease’s potential to cause autonomic dysfunction and muscle
stiffness. So far, no consensus for the better anesthesia technique has been described in the literature, and to our
knowledge no data about sole ultrasound-guided locoregional anesthesia for limb surgical procedure of the tetanus
patient has been published.
Case presentation: A 22-year-old male tetanus patient presented with an infected gunshot wound on the right
forearm with a right radio-ulnar fracture and gangrene of the distal half of the right forearm planned for immediate
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DOI:
10.35248/2155-6148.23.14.1116