Technique of Wide-Awake Local Anesthesia No Tourniquet Injection for a Transradial Forearm Amputation in an Ischemic Hand

Abdullah S; Ahmad AA; Abdul Latiff A; Kumar N; Gill PS

doi:10.1016/j.jhsg.2022.04.002

Fulltext

Technique of Wide-Awake Local Anesthesia No Tourniquet Injection for a Transradial Forearm Amputation in an Ischemic Hand

Abdullah S ¹ , Ahmad AA ¹ , Abdul Latiff A ¹ , Kumar N ¹ , Gill PS ¹

Affiliations

¹ Department of Orthopaedics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

J Hand Surg Glob Online, 2022 Nov;4(6):432-436.

PMID: 36420462 DOI: 10.1016/j.jhsg.2022.04.002

Abstract

A 48-year-old man with drug addiction presented with gangrene of the right hand following an inadvertent intra-arterial administration of crushed dihydrocodeine tartrate (DF 118) tablets (GlaxoSmithKline S.A.) dissolved in water; the solution was injected into his right antecubital fossa. After 3 weeks of pain, paresthesia, and cyanosis, his right hand became gangrenous. We performed a right forearm amputation by use of the wide-awake local anesthesia no tourniquet technique. After surgery, his wound healed well, and he was successfully fitted with a hand prosthesis.

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