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Reg Anesth Pain Med. 2010 Jul-Aug;35(4):400-1.

Nerve injury complicating ultrasound/electrostimulation-guided supraclavicular brachial plexus block.

Author information

  • 1Department of Anesthesiology, St Luke's-Roosevelt Hospital Center, Columbia University, College of Physicians and Surgeons, New York City, NY 10025, USA.

Abstract

BACKGROUND AND OBJECTIVES:

Neurologic complications after peripheral nerve blocks (PNBs) are relatively uncommon. It has been postulated that real-time, needle-nerve visualization during ultrasound guided PNBs might further reduce the risk of neurologic or vascular complications.

CASE REPORT:

In this report, we describe the occurrence of a severe brachial plexus injury after combined ultrasound and nerve stimulator-guided supraclavicular brachial plexus block.

CONCLUSIONS:

Ultrasound guidance should not preclude development of additional monitoring and protocols to decrease the risk of complications with PNBs.

PMID:
20607905
[PubMed - indexed for MEDLINE]
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