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Reg Anesth Pain Med ; 35(4): 400-1, 2010.
Article in English | MEDLINE | ID: mdl-20607905

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.


Subject(s)
Brachial Plexus/injuries , Electric Stimulation , Nerve Block/adverse effects , Peripheral Nervous System Diseases/etiology , Thumb/innervation , Ultrasonography, Interventional , Aged , Amides/administration & dosage , Anesthetics, Local/administration & dosage , Brachial Plexus/diagnostic imaging , Brachial Plexus/drug effects , Brachial Plexus/physiopathology , Female , Humans , Injections , Muscle Weakness/etiology , Pain, Postoperative/etiology , Peripheral Nervous System Diseases/physiopathology , Peripheral Nervous System Diseases/therapy , Ropivacaine , Severity of Illness Index , Thumb/surgery
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