Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic

ABSTRACT

An 18-year-old female with neurofibromatosis presented for enucleation biopsy of a slow-growing soft tissue mass on her right anteromedial arm during the COVID-19 pandemic. Ultrasonography was used in the mapping of the brachial plexus and the identification of possible neurofibroma along peripheral nerves. An interscalene brachial plexus nerve block was successfully and safely achieved with ultrasonographic and peripheral nerve stimulator guidance. Ultrasound-guided and nerve stimulator-guided peripheral nerve blocks are safe and viable anesthetic management options for patients with neurofibromatosis, especially in this time of the COVID-19 global pandemic. © 2022 University of the Philippines Manila. All rights reserved.