Abstract:

Regional anesthesia practices are important because they have advantages such as the patient's consciousness is open, the continuation of spontaneous breathing, the preservation of airline reflexes, the continuation of analgesia in the postoperative period and the early mobilization of the patient. Local anesthesia is used in high doses and volumes in brakial plexus blocks made using a nerve stimulator. However, the advancement of ultrasound (US) technology and improved image quality have increased its use due to its advantages, such as being able to provide reduced dose-limited anesthesia, reducing the risk of vascular and pleural ponction. Ultrasound (US) can track the nerves and anatomical structures, can track the injection, can monitor the distribution of given local anesthesia and can reduce the dose. Organ and tissue loss associated with multiple extensive burns, after burning, tissue infection requires multiple surgical procedures. When taking these patients to surgery, anesthesians can experience difficulties in many stages. For this purpose, they prefer regional anesthesia for fewer complications. In our study, we aimed to provide the low dose of bilateral supraclavicals, infraclavicals and axils that we use in the U.S. in the paraplegic high-risk trauma case with both arms, pre-hals, arms and arms related to electric burning, which are developing burning wounds and which are also affected by lung disease.

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