6533b857fe1ef96bd12b4cf5
RESEARCH PRODUCT
Bloqueo interescalénico guiado por ecografía en un paciente con alteraciones anatómicas de la región supraclavicular secundarias a radioterapia y cirugía
Carlos L. ErrandoL. Muñoz-devesaM.a. Soldadosubject
Nerve stimulationbusiness.industryInterscalene brachial plexus blockUltrasoundAnatomyCritical Care and Intensive Care MedicineUltrasound guidanceCatheterAnesthesiology and Pain MedicineMedicineRight humerusbusinessBrachial plexusSurgical patientsdescription
Regional blocks can be difficult in surgical patients with certain superficial anatomical abnormalities. Such blocks may be possible, however, under ultrasound guidance. We report a case in which a man with a fractured right humerus required an ultrasound-guided interscalene brachial plexus block. Secondary to radiotherapy, the patient had right cervical and facial abnormalities that had altered the location of external anatomical landmarks. We describe the approach used to insert the catheter and the exploration of the region by ultrasound. Nerve stimulation was not used to avoid painful contractions. Analgesia was excellent during surgery and over the following 24 hours.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2011-01-01 | Revista Española de Anestesiología y Reanimación |