V Ozen1. 1. Department of Anesthesiology and Reanimation, Okmeydani Training and Research Hospital, Istanbul, Turkey.
Abstract
BACKGROUND: In recent years, interscalene brachial plexus block (ISB) and selective supraclavicular nerve block (SNB) have been associated with successful outcomes in the treatment of fractures of the clavicle while avoiding complications. Description of the case: A 67-year-old male sustained a fracture of his right clavicle following a fall. Regional anesthesia was favored for his treatment after obtaining informed consent as he would have been exposed to high risk if treated under general anesthesia due to his medical history of coronary artery disease and chronic obstructive pulmonary disease. Ultrasound-guided combined application of ISB and selective SNB were utilized with a low-dose local anesthetic without the occurrence of any intraoperative or postoperative complication. CONCLUSION: Low-dose ISB and selective SNB can be effectively and safely used for clavicular fracture treatment procedures, especially in patients who have a low pulmonary reserve. HIPPOKRATIA 2019, 23(1): 25-27. Copyright 2019, Hippokratio General Hospital of Thessaloniki.
BACKGROUND: In recent years, interscalene brachial plexus block (ISB) and selective supraclavicular nerve block (SNB) have been associated with successful outcomes in the treatment of fractures of the clavicle while avoiding complications. Description of the case: A 67-year-old male sustained a fracture of his right clavicle following a fall. Regional anesthesia was favored for his treatment after obtaining informed consent as he would have been exposed to high risk if treated under general anesthesia due to his medical history of coronary artery disease and chronic obstructive pulmonary disease. Ultrasound-guided combined application of ISB and selective SNB were utilized with a low-dose local anesthetic without the occurrence of any intraoperative or postoperative complication. CONCLUSION: Low-dose ISB and selective SNB can be effectively and safely used for clavicular fracture treatment procedures, especially in patients who have a low pulmonary reserve. HIPPOKRATIA 2019, 23(1): 25-27. Copyright 2019, Hippokratio General Hospital of Thessaloniki.
Authors: Joseph M Neal; Richard Brull; Jean-Louis Horn; Spencer S Liu; Colin J L McCartney; Anahi Perlas; Francis V Salinas; Ban Chi-Ho Tsui Journal: Reg Anesth Pain Med Date: 2016 Mar-Apr Impact factor: 6.288
Authors: Steven H Renes; Harald C Rettig; Mathieu J Gielen; Oliver H Wilder-Smith; Geert J van Geffen Journal: Reg Anesth Pain Med Date: 2009 Sep-Oct Impact factor: 6.288