Abstract

LABRADA TAPIA, Domingo Ángel; LABRADA TAPIA, Víctor Cesar; LLOPIZ SALASAR, Rolando Emilio  and  MORALES GONZALEZ, Raúl A. Coma profundo consecutivo a bloqueo del plexo braquial: A propósito de 1 caso. Rev Cubana Cir [online]. 2002, vol.41, n.1, pp. 62-64. ISSN 1561-2945.

The clinical unfrequent case of a 17-year-old male patient that had an avulsive wound of the left upper limb as a result of a traffic accident is presented. Block of the brachial plexus was performed by the interscalene perivascular technique. Mepivacaine 2 % was used as an anesthetic. Some minutes later, the patient had a deep coma with total muscular resolution, mydriatic and non-reactive pupils. The photomotor, corneal and eyelid reflexes were absent. He was intubated and coupled to the Mark-8 mechanical respirator. The hemodynamics was maintained without presenting convulsions. Later on, he recovered himself gradually and had no sequelae

Keywords : ACCIDENTS, TRAFFIC; BRACHIAL PLEXUS [surgery]; RESPIRATION, ARTIFICIAL; MEPIVACAINE [adverse effects]; NERVE BLOCK [adverse effects]; ANESTHESIA, CONDUCTION; COMA [therapy].

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