Ultrasound-guided supraclavicular brachial plexus block in pediatric patients -A report of four cases-
نویسندگان
چکیده
Supraclavicular brachial plexus blocks are not common in pediatric patients due to the risk of pneumothorax. Ultrasonography is an important tool for identifying nerves during regional anesthesia. Directly visualizing the target nerves and monitoring the distribution of the local anesthetic are potentially significant. In addition, ultrasound monitoring helps avoid complications, such as inadvertent intravascular injection or pneumothorax. This paper reports four cases of pediatric patients who received ultrasound-guided supraclavicular brachial plexus block for upper limb surgery.
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The study evaluates a new approach to ultrasound-guided supraclavicular brachial plexus block using a supraclavicular parasagittal approach. Sixty outpatients scheduled for hand surgery were given brachial plexus block utilising the new approach. Time taken for block procedure was short and onset time for sensory block was rapid, using a low volume of local anaesthetic agent, with the volume de...
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BACKGROUND Multiple needle attempts to gain a muscle twitch or a paresthesia for a classical supraclavicular brachial plexus block can increase the risks of nerve damage or pain. The aims of this study were to obtain reliable clinical data on ultrasound-guided supraclavicular blocks, demonstrate the higher success rate and fewer complications, and design an injection method for patients whose b...
متن کاملThe technique comparison of brachial plexus blocks by ultrasound guided with blocks by nerve stimulator guided.
OBJECTIVE Brachial plexus perineural blocks provide specific analgesia for upper limb surgery. We present our experience with ultrasound-guided supraclavicular brachial plexus perineural blocks for distal upper limb surgery. Although single-injection ultrasound-guided supraclavicular blocks have been reported, little is known about the advantages using this approach compared with nerve stimulat...
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Ultrasound-guided peripheral nerve blocks facilitate ambulatory anesthesia for upper limb surgeries. Unilateral phrenic nerve blockade is a common complication after interscalene brachial plexus block, rather than the supraclavicular block. We report a case of severe respiratory distress and bilateral bronchospasm following ultrasound-guided supraclavicular brachial plexus block. Patient did no...
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