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, Abbas Sedighinejad1 , Bahram Naderi nabi1 , Hossein Khoshrang1 , Vali Imantalab 2, Saeid Safari3 , Parham Valiani3 , Pegah Taherifard3
2- guilan university of medical sciences ,
3- iran ,university of medical sciences.
Aims and background: The infraclavicular nerve block as a method for anesthesia or analgesia in upper
extremities that can be performed under guide of nerve stimulation or ultrasound. One of the adverse reaction
to this method is the local anesthetic systemic toxicity that has been decreased when using the ultrasound to
avoid intravascular injection.
Case report: This case report explains an infraclavicular block under guide of ultrasound in a 52-year-old
patient who was experienced local anesthetic systemic toxicity with lidocaine due to anomalous vasculature
that normally cannot be visualized in ultrasound guide. The epilepsy was controlled by barbiturate and after
one day, he was discharged.
Received: 2015.11.14 | Accepted: 2016.01.3 | Published: 2016.03.25
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