Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
نویسندگان
چکیده
We present a case of unexpectedly prolonged motor and sensory block following a successful single injection ultrasound - guided infraclavicular block with bupivacaine (0.25%) and dexamethasone (8 mg). ultrasound guidance and safety measurement such as injection of the local anaesthetic at a slow rate and verifying that usual resistance was felt throughout the injection, has been applied. It took 42 hours for the block to go away. Although there was no evidence of neurologic injury but we should always be prepared to consider the possibility of nerve injury and take appropriate measures.
منابع مشابه
Ultrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery
Background: Opioids added to local anesthetics for peripheral nerve blocks may intensify analgesia and prolong analgesic and sensorial block duration. These agents may also cause potentiation and prolongation of motor block. Objective: This study compared the postoperative effects of 30 mL of 0.25% bupivacaine +50 mcg fentanyl and 30 mL of 0.25% bupivaca...
متن کاملProlonged nerve blockade in a patient treated with lithium
We report a case of a patient, chronically treated with oral lithium, who presented with an extremely prolonged (42-hour) duration of sensory and motor paralysis following an uneventful infraclavicular block for hand surgery that was performed under ultrasound guidance using bupivacaine and lidocaine. Due to its direct effect on nerve conduction of action potential, we propose that lithium may ...
متن کاملOnset Time of 2% Lidocaine and 0.5% Bupivacaine Mixture versus 0.5% Bupivacaine Alone using Ultrasound and Double Nerve Stimulation for Infraclavicular Brachial Plexus Anesthesia in ESRD Patients Undergoing Arteriovenous Fistula Creation.
OBJECTIVE To reduce the onset of 0.5% bupivacaine by adding 2% lidocaine with 0.5% bupivacaine for ultrasound-guided and double stimulation technique at musculocutaneous and radial nerve for infraclavicular brachial plexus block. DESIGN Prospective randomized double-blinded, controlled trial study. MATERIAL AND METHOD 90 patients undergoing creation of arteriovenous fistula under ultrasound...
متن کاملRegional Anesthesia and Acute Pain
Background andObjectives: This multicenter, randomized trial compared intravenous (IV) and perineural (PN) dexamethasone for ultrasound (US)-guided infraclavicular brachial plexus block. Our research hypothesis was both modalities would result in similar durations of motor block. Methods: One hundred fifty patients undergoing upper limb surgery with US-guided infraclavicular block were randomly...
متن کاملمقایسه نتایج بلوک اینفراکلاویکولار با دو روش تحریک عصب و سونوگرافی به اضافه تحریک عصب
Background and aims: Infraclavicular nerve block (ICNB) is one of the most efficacious peripheral nerve blocks for upper extremity procedures, associated with several potential complications. Recently, some authors have recommended ultrasound-guided peripheral nerve block for ICNB. The current study is aimed to compare the outcomes of ICNB utilizing combined ultrasound guidance and neurostimula...
متن کامل