Nerve injury complicating ultrasound/electrostimulation-guided supraclavicular brachial plexus block.

Reiss, Wojciech; Kurapati, Sushmitha; Shariat, Ali; Hadzic, Admir · Reg Anesth Pain Med · 2010

case_report · Level V

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Abstract

Neurologic complications after peripheral nerve blocks (PNBs) are relatively uncommon. It has been postulated that real-time, needle-nerve visualization during ultrasound guided PNBs might further reduce the risk of neurologic or vascular complications. In this report, we describe the occurrence of a severe brachial plexus injury after combined ultrasound and nerve stimulator-guided supraclavicular brachial plexus block. Ultrasound guidance should not preclude development of additional monitoring and protocols to decrease the risk of complications with PNBs.

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