Hypercapnic respiratory distress and loss of consciousness: a complication of supraclavicular brachial plexus block

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Hypercapnic respiratory distress and loss of consciousness: a complication of supraclavicular brachial plexus block

Supraclavicular brachial plexus block is a common anesthetic technique performed for surgery of the upper extremities. We experienced a case of acute hypercapnic respiratory distress with loss of consciousness during creation of an arteriovenous fistula under ultrasound-guided supraclavicular brachial plexus block using 30 mL of 0.75 % ropivacaine. We detected ipsilateral hemidiaphragmatic para...

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Ultrasound-guided supraclavicular brachial plexus block.

UNLABELLED In this study, we evaluated state-of-the-art ultrasound technology for supraclavicular brachial plexus blocks in 40 outpatients. Ultrasound imaging was used to identify the brachial plexus before the block, guide the block needle to reach target nerves, and visualize the pattern of local anesthetic spread. Needle position was further confirmed by nerve stimulation before injection. T...

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USING PHYSICAL EXAMINATION IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK WITH MODIFIED PARASCALENE APPROACH

Background: Because nerve stimulators are not always available for brachial plexus block, fmding the right injection spot for nerve blocks is important. In this study we used physical examination to determine the appropriate spot for injection. Methods: All patients who were candidates for upper extremity surgery and were either in class ASA I or ASA II, were selected. Paresthesia was elici...

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Hypertensive emergency as a complication of brachial plexus block.

The authors report a case of hypertensive emergency (defined as systolic blood pressure >180 mm Hg and diastolic blood pressure >110 mm Hg with end organ damage) following brachial plexus blockade in a hypertensive lady with unstable angina. The authors describe blocking of baroreceptor reflexes by the local anaesthetic as a putative mechanism and suggest that this potentially serious complicat...

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Supraclavicular Brachial Plexus Block for Arteriovenous Hemodialysis Access Procedures.

Ultrasound-guided supraclavicular brachial plexus block using 1% and 2% lidocaine in 21 procedures is reported. Average procedure time was 5.1 minutes (± 1.2 min; range, 2-8 min). Average time of onset and duration were 4.8 minutes (± 3.7 min; range, 0-10 min) and 77.9 minutes (± 26.7 min; range, 44-133 min), respectively, for sensory block and 8.4 minutes (± 5.7 min; range, 3-23 min) and 99 mi...

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ژورنال

عنوان ژورنال: JA Clinical Reports

سال: 2015

ISSN: 2363-9024

DOI: 10.1186/s40981-015-0014-5