@article{abdullayev2015multiple,
  title = {Multiple Extremity Blocks in a Multi Traumatic Patient},
  author = {Ruslan Abdullayev and Sinan Hatipoglu and Mehmet Duran and Omer Burak Kucukebe and Bunyamin Ozturk and Demet Pepele and Abuzer Uludag},
  year = 2015,
  url = {https://ibimapublishing.com/articles/JMED/2015/654241/},
  journal = {JMED Research},
  volume = 2015,
  pages = 7,
  doi = 10.5171/2015.654241,
  abstract = {Objective: Regional anesthesia for operative procedures on extremities has lots of advantages over general anesthesia like sparing anesthetic drugs and mechanical ventilation, good postoperative analgesia, increased blood supply to the extremity. But sometimes regional anesthesia is indispensable because of the conditions like full stomach, difficult airway, pulmonary comorbidities. Few reports only exist in literature with simultaneous blockade of more than one extremity. We represent a case with simultaneous blockade of three extremities for surgical anesthesia. Case Report: A 56 year old male admitted to the hospital after a traffic accident. He had left radius and ulna fracture, right hand tendon and soft tissue damage, left femur fracture and pneumothorax on the left side. The patient was scheduled for the operation on the second day of admission and regional anesthetic technique was chosen because of the concern of possible pulmonary complications. Left infraclavicular block, right regional intravenous anesthesia for the arm and spinal anesthesia were performed at the same seance. The surgical procedure was completed without any complications. The patient was discharged at the postoperative day 2. Conclusion: We have successfully performed three different kinds of neural blockade for three extremities of a patient at the same seance. It is important to evaluate the patient individually and calculate the total local anesthetic doses before performing these kinds of procedures. We advise to execute the surgery on different days if there is a risk of systemic toxicity from local anesthetics with the calculated doses exceeding maximal doses acceptable.},
  keywords = {multi traumatic patient, surgery, surgical anesthesia, intravenous regional anesthesia, multiple extremity blocks.},
  note = Article ID: 654241
}