A surgical resident has accidently given an intra aerial injection of thiopental sodium to a patient on the ward. The arm has blanched below the level of the injection. Which of the following is NOT recommended for the management?
The recommendation in such a scenario is to leave the needle in the aery and to inject a vasodilator like papaverine. A brachial plexus block or stellate ganglion block will cause vasodilatation and decrease the ischemia. In case of extravascular injection infiltrate with hyaluronidase 1500 IU dissolved in 1 ml through the cannula. Ref: Oxford handbook of clinical specialities, 8th Edition, Page 620.
Immediately remove the needle and apply warm towel
Perform a brachial plexus block on the affected side
Give IV heparin
Give analgesics