Tratamiento anestésico mediante bloqueo del plexo braquial costoclavicular con analgesia controlada por el paciente en Pediatría: caso clínico
| Autor: | N. Tanaka, Mitsuru Ida, Tadashi Nishiwada, Masahiko Kawaguchi |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Continuous infusion
business.industry Anesthetic management Critical Care and Intensive Care Medicine Catheter Anesthesiology and Pain Medicine Levobupivacaine Anesthesia Ulnar shortening osteotomy Paralysis medicine medicine.symptom business Costoclavicular space medicine.drug Brachial plexus block |
| Zdroj: | Revista Española de Anestesiología y Reanimación. 69:705-707 |
| ISSN: | 0034-9356 |
| Popis: | Anesthetic management using costoclavicular brachial plexus block with patient-controlled analgesia in pediatrics: a case report Abstract The costoclavicular brachial plexus block (CBPB) has been receiving increasing attention as an effective technique for upper arm surgery conducted without phrenic paralysis. However, studies in children are lacking. CBPB was applied to a 10 year-old girl undergoing scheduled radial and ulnar osteotomy due to multiple cartilaginous exostoses and ulnar lengthening. CBPB was performed with a bolo administration of 10 mL of 0.25% levobupivacaine, and the catheter was sequentially replaced in the right costoclavicular space. After surgery, a continuous infusion of 0.17% levobupivacaine through a catheter was initiated at 2 mL/h, along with patient-controlled analgesia (PCA) of 3 mL 0.17% levobupivacaine with a 60-minute lock out. The patient complained of 5/10 pain on the numerical rating scale (NRS) 2 hours after surgery, which improved immediately after bolus administration. The analgesia induced by CBPB was otherwise effective (NRS ≤ 2). CBPB with PCA may provide adequate analgesia in pediatric cases. |
| Databáze: | OpenAIRE |
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