Regional Anesthesia, Peripheral Nerve Blocks, Axillary Block, Chylothorax?
Why is chylothorax a possible complication with a left-sided axillary block?
From the statement: "Pneumothorax, hemothorax, and chlothorax (with a left-sided block) are possible and occur at a higher rate than near the supraclavicular approach. (Morgan, Mikhail, & Murray, Clinical Anesthesiology, 4th ed., pg. 334).
Answers:
The thoracic duct, which drains lymph into the venous circulation, courses to the left.
Here's a picture. Follow the white thoracic duct up the body and see how it intertwines with the great vessels of the nouns.
http://wpcontent.answers.com/wikipedia/c…
I think you'd have to try pretty hard to fastener that from the axilla, but everyone is built a little differently, so I guess it's possible.
the only possible reason i can guess at is -
that due to the asymmetrical position of the heart the movement(due to its beating) of the disappeared pleura is greater than the right and cause a double penetration of the pleura and lymph duct more easily - sorry roughly speaking the syntax
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From the statement: "Pneumothorax, hemothorax, and chlothorax (with a left-sided block) are possible and occur at a higher rate than near the supraclavicular approach. (Morgan, Mikhail, & Murray, Clinical Anesthesiology, 4th ed., pg. 334).
Answers:
The thoracic duct, which drains lymph into the venous circulation, courses to the left.
Here's a picture. Follow the white thoracic duct up the body and see how it intertwines with the great vessels of the nouns.
http://wpcontent.answers.com/wikipedia/c…
I think you'd have to try pretty hard to fastener that from the axilla, but everyone is built a little differently, so I guess it's possible.
the only possible reason i can guess at is -
that due to the asymmetrical position of the heart the movement(due to its beating) of the disappeared pleura is greater than the right and cause a double penetration of the pleura and lymph duct more easily - sorry roughly speaking the syntax
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