ROLE OF ANAESTHESIOLOGIST IN ULTRASOUND GUIDED REMOVAL OF VASCULAR TUMOR IN THE FOREARM

CORRESPONDING AUTHOR:
Dr. Gajendra Singh,
# 170, K. H. B. Colony,
M. S. K. Mill Road,
Shanti Nagar, Gulbarga-585103,
Karnataka, India.
Email: gajendra.glb@gmail.com
              

ABSTRACT: Re-exploration of a recurrent vascular tumor in a 20-year-old boy was done using ultrasound guided axillary nerve block. The tumor was operated one year back resulting in non-regression of the mass. He was re-operated after one year and the surgery was abandoned because of non-localization of the feeding vessel due to fibrosis and distorted anatomy. So the help of ultrasound guidance was sought by the surgeon to locate the feeding vessel. We helped the surgeons to ligate vessels by using high frequency ultrasound probe intraoperatively. Localization and confirmation of feeding vessels was done by using color flow mapping and Doppler study. This led to successful excision of the tumor with minimal bleeding. This case illustrates the invaluable contribution that usage of ultrasound by an anesthesiologist has made a very difficult and complex surgery into a very simple and easy one, resulting in successful outcome.

KEYWORDS: Anesthesiologist – Ultrasound – Nerve Block - Vascular Tumor – Doppler – color flow mapping.