Ultrasound-Guided Selective Trunk Block to Produce Surgical Anesthesia of the Whole Upper Extremity: A Case Report
| Autor: | Ranjith Kumar Sivakumar, Louis Y H Mok, Manoj K. Karmakar, Pornpatra Areeruk |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry General Medicine Brachial Plexus Block Trunk Ultrasound guided Surgery law.invention Upper Extremity Intramedullary rod medicine.anatomical_structure law medicine Humans Brachial Plexus Humerus Surgical anesthesia business Intercostobrachial nerve Brachial plexus Ultrasonography Interventional Ultrasonography Brachial plexus block |
| Zdroj: | A&A Practice. 14:e01274 |
| ISSN: | 2575-3126 |
| DOI: | 10.1213/xaa.0000000000001274 |
| Popis: | None of the classical brachial plexus block techniques can reliably produce surgical anesthesia of the whole upper extremity that is from shoulder to hand. We describe ultrasound-guided "selective trunk block" (SeTB) that was successfully used to produce surgical anesthesia of the whole ipsilateral upper extremity in a patient undergoing intramedullary nailing of the humerus for a pathological fracture. The 3 trunks of the brachial plexus were individually identified and selectively blocked with 2 separate injections. We conclude that SeTB is a viable option when surgical anesthesia of the whole upper extremity, except for the intercostobrachial nerve (T2) territory, is being considered. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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