Intra-arterial drug administration is a rare but potentially dreadful condition which can result in ischemia and gangrene of the hand. In the present case we accidentally injected propofol in an anomalous radial artery during anesthesia induction. Serial ultrasound-guided stellate ganglion blocks were applied to salvage the limb of the patient by promoting arterial blood flow. This is probably the first reported case of accidental intra-arterial injection of propofol being managed with stellate ganglion block.
Keywords: Stellate ganglion block, intra-arterial, propofol, radial artery