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CASE REPORT
Double axillary vein variation diagnosed with ultrasound guidance during infraclavicular nerve block intervention
  1. Başak Altıparmak1,
  2. Melike Korkmaz Toker2,
  3. Ali İhsan Uysal2 and
  4. Semra Gümüş Demirbilek1
  1. 1 Anesthesiology and Reanimation, Muğla Sıtkı Koçman University, Muğla, Turkey
  2. 2 Anesthesiology and Reanimation, Muğla Sıtkı Koçman University Training and Research Hospital, Muğla, Turkey
  1. Correspondence to Dr Başak Altıparmak, basak_ugurlu{at}yahoo.com

Abstract

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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Footnotes

  • Contributors BA (Muğla Sıtkı Koçman University) has contributions in; 1. Conception and design, acquisition of data or analysis and interpretation of data. 2. Drafting the article or revising it critically for important intellectual content. 3. Final approval of the version published. 4. Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. MKT (Muğla Sıtkı Koçman University Training and Research Hospital) has contributions in; 1. Conception and design, acquisition of data or analysis and interpretation of data. 2. Drafting the article or revising it critically for important intellectual content. 3. Final approval of the version published. 4. Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. AİU (Muğla Sıtkı Koçman University Training and Research Hospital) has contributions in; 1. Conception and design, acquisition of data or analysis and interpretation of data. 2. Drafting the article or revising it critically for important intellectual content. 3. Final approval of the version published. 4. Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.Semra GÜMÜŞ DEMİRBİLEK (Muğla Sıtkı Koçman University Training and Research Hospital) has contributions in; 1. Conception and design, acquisition of data or analysis and interpretation of data. 2. Drafting the article or revising it critically for important intellectual content.3. Final approval of the version published. 4. Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sector.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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