• Anaesthesia · Nov 2006

    Case Reports

    Total spinal anaesthesia after an attempted brachial plexus block using the posterior approach.

    • J M Grefkens and K Bürger.
    • Department of Anaesthesiology, Leiden Universital Medical Center, Leiden, PO Box 6900, 2300 RC, Leiden, The Netherlands. j.m.grefkens@lumc.nl
    • Anaesthesia. 2006 Nov 1;61(11):1105-8.

    AbstractA 66-year-old patient scheduled for elective shoulder surgery underwent a brachial plexus block using the posterior approach. Shortly after injection of the local anaesthetic, he rapidly became unresponsive and apnoeic. We identify the possible reasons for this occurrence and discuss the place of the posterior approach in brachial plexus anaesthesia.

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