Transient median nerve palsy following ultrasound-guided subscapularis plane block: a case report

Abstract The subscapularis plane block is an effective approach to anesthetize axillary and upper subscapular nerves. There have been no reports regarding brachial plexus paralysis as a potential complication to date. Described here is a case of median nerve palsy following ultrasound-guided subscapularis plane block for awake frozen shoulder manipulation that was performed on a 52-year-old female diagnosed with adhesive capsulitis. The patient could not flex digits two and three, and ipsilateral inner palm numbness occurred shortly after the block commenced, with complete resolution in the next two hours. The local anesthetics spillage towards brachial plexus with possible partial paralysis should always be expected after subscapularis plane block.

Anaesthetic Management with Dexmedetomidine for Intraoperative Awake Test in Correction of Scoliosis; a Case Report

Damage to spinal cord and its subsequent neurological deficits have been recognized as the complications of scoliosisrepair surgery. Wake up test has been a safe, simple and reliable method to recognize such complications. Dexmedetomidineand Sevoflurane were the main anaesthetics for a 14 year old girl who underwent a scoliosis repair surgery with the intraoperative wake-up test and hemodynamic stability. The analgesic property of Dexmedetomidine was complemented by thecontinuous Fentanyl infusion. Dexmedetomidine, Sevoflurane and continuous Fentanyl infusions were administered toachieve the maintenance of the anesthesia. These anaesthetic regimens produced a satisfactory result for the intra operativehemodynamic stability and the wake-up test with the minimum complication. Here, a case of scoliotic repair surgery waspresented using Dexmetomidine, Sevoflurane and Fentanyl infusion as the safe anaesthetic regimens.