Which is/ are false regarding intra aerial injection of thiopentone
Following accidental intra-aerial injection of thiopentone, immediatelystop the injectionandkeep the the cannula intact. Intra-aerial injection may cause acute, severe extremity ischaemia and gangrene. The degree of injury is related to the concentration of the drug. Treatment: Theneedle should not be removedand saline is administered the same needle so as to dilute the drug Administering heparinto prevent thrombosis Brachial plexus block or stellate ganglion blockto relieve vasospasm
Stellate ganglion block can cause sympathectomy and vasodilation
Papaverine is used for dilatation of aery which is in spasm
Crystallization of thiopentone in aerial blood is the main cause
stop the injectionand remove the cannula
Intravenous Anesthetic Agents