• Reg Anesth Pain Med · Jul 2010

    Case Reports

    Nerve injury complicating ultrasound/electrostimulation-guided supraclavicular brachial plexus block.

    • Wojciech Reiss, Sushmitha Kurapati, Ali Shariat, and Admir Hadzic.
    • Department of Anesthesiology, St Luke's-Roosevelt Hospital Center, Columbia University, College of Physicians and Surgeons, New York City, NY 10025, USA.
    • Reg Anesth Pain Med. 2010 Jul 1; 35 (4): 400-1.

    Background And ObjectivesNeurologic 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 ReportIn this report, we describe the occurrence of a severe brachial plexus injury after combined ultrasound and nerve stimulator-guided supraclavicular brachial plexus block.ConclusionsUltrasound guidance should not preclude development of additional monitoring and protocols to decrease the risk of complications with PNBs.

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