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KMID : 0363119940070020299
Korean Journal of Pain
1994 Volume.7 No. 2 p.299 ~ p.302
Extravasation of Prostaglandin E1 during Bier Block for the Treatment of Occlusive Arterial Disease




Abstract
Prostaglandin E1 (PGEl) is a potent vasodilator and is a useful drug for the treatment of occlusive peripheral vascular disease. It has been used systemically via intravenous route or regionally via intraarterial route. We tried intravenous
regional
administration of PGEl for the treatment of a patients with occlusive arterial disease involving left fingers. During the 13th injection, the patient complained of severe pain at the injection site during the drug administration. Thereafter, the
patient
developed painful and severe swelling with blebs on his left had. Systemic antibiotics were given together with stellate ganglion block of the affected left side. PGE1 was substituted to reserpine, with is subcutaneously injectable, for the
second
term
treatment.
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