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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2012 January;78(1):105-8

lingua: Inglese

Ultrasound-guided posterior approach to brachial plexus for the treatment of upper phantom limb syndrome

Tognù A. 1, Borghi B. 2, Gullotta S. 3, White P. F. 4, 5, 6

1 Unit of Anesthesia and Intensive Care, Rizzoli Orthopedic Institute, Bologna, Italy;
2 Department of Surgery and Anesthesiology Sciences, University of Bologna; Research Unit of Anesthesia and Intensive Care, Rizzoli Orthopedic Institute, Bologna, Italy;
3 Department of Anesthesia, “Città di Quartu“ Policlinic, Cagliari, Italy;
4 Director of Research, Policlinico Abano, Abano Terme, Padua, Italy,
5 Visiting Professor University of Bologna and Rizzoli Orthopedic Institute, Bologna, Italy;
6 Clinical Research, Cedars Sinai Medical Center, Los Angeles, CA, USA


The purpose of the case is to report the clinical value of the ultrasound-guided posterior approach to the brachial plexus in the treatment of phantom limb syndrome after an upper extremity amputation. The author experienced ultrasound guidance as sole technique to localize the brachial plexus for the purpose of placing a catheter for continuous infusion of a local anesthetic in a patient where standard landmark-based nerve stimulation for placement of a continuous perineural block was not possible.

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