The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Extravasation of Prostaglandin E1 during Bier Block for the Treatment of Occlusive Arterial Disease

폐쇄성 혈관 질환의 치료를 위한 Bier Block중에 발생한 Prostaglandin E1의 혈관의 유출

  • Choe, Huhn (Department of Anesthesiology, Chonbuk National University Medical School) ;
  • Lee, Yong-Tae (Department of Anesthesiology, Chonbuk National University Medical School) ;
  • Kim, Dong-Chan (Department of Anesthesiology, Chonbuk National University Medical School) ;
  • Han, Young-Jin (Department of Anesthesiology, Chonbuk National University Medical School)
  • 최훈 (전북대학교 의과대학 마취과학교실) ;
  • 이용태 (전북대학교 의과대학 마취과학교실) ;
  • 김동찬 (전북대학교 의과대학 마취과학교실) ;
  • 한영진 (전북대학교 의과대학 마취과학교실)
  • Published : 1994.11.26
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Abstract

Prostaglandin E1(PGE1) is a potent vasodilator and is a useful drug for the treatment of occlusive peripheral vascular disease. It has been used systemically via intravenous route or regionally via intraarterial route. We tried intravenous regional administration of PGE1 for the treatment of a patient with occlusive arterial disease involving left fingers. During the 13th injection, the patient complained of severe pain at the injection site during the drug administration. Thereafter, the patient developed painful and severe swelling with blebs on his left hand. Systemic antibiotics were given together with stellate ganglion block of the affected left side. PGE1 was substituted to reserpine, which is subcutaneously injectable, for the second term treatment.

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