Abstract
We report a case of uncomplicated axillary catheter placed under ultrasound guidance in a patient with severe hemophilia. This catheter, inserted when the patient was fully substituted with factor VIII, was indicated for postoperative physiotherapy after elbow arthrolysis. Ultrasound control showed no local bleeding. Withdrawal was uneventful. Efficient analgesia allowed intensive elbow mobilization.
Highlights
Ultrasound-guidance may help anesthesiologists to perform regional anesthesia in special situations
Very few data are available about regional anesthesia in hemophiliacs, and we found only one case that reports the placement of an axillary catheter in a hemophiliac [3]
A 24-yr-old man with severe hemophilia A (factor VIII (FVIII) activity level of less than 1% of normal) with inhibitor (0.7 Bethesda Units) was scheduled for right elbow synoviectomy, arthrolysis and radial head resection
Summary
We report a case of uncomplicated axillary catheter placed under ultrasound guidance in a patient with severe hemophilia. This catheter, inserted when the patient was fully substituted with factor VIII, was indicated for postoperative physiotherapy after elbow arthrolysis.
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