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Ultrasound-Guided Superior and Middle Trunk Brachial Plexus Block with Superficial Cervical Plexus Block for Shoulder Surgeries in High-Risk Patients: Case Series

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Date 2020 Dec 7
PMID 33282665
Citations 3
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Abstract

There is a constant quest for a regional anesthetic technique that would provide anesthesia adequately for shoulder surgeries but lacks the complications of an interscalene block, such as phrenic nerve palsy. The nerves to be blocked for a surgery can be analyzed and tailored. We discuss the precise blockade of the superior and middle trunk of the brachial plexus along with superficial cervical plexus block using ultrasound for performing three different shoulder surgeries exclusively under regional anesthesia, in high-risk patients without any clinically observed complications.

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References
1.
Chang K, Wu W, Huang K, Jan W, Han D . Limb muscle quality and quantity in elderly adults with dynapenia but not sarcopenia: An ultrasound imaging study. Exp Gerontol. 2018; 108:54-61. DOI: 10.1016/j.exger.2018.03.019. View

2.
Burckett-St Laurent D, Chan V, Chin K . Refining the ultrasound-guided interscalene brachial plexus block: the superior trunk approach. Can J Anaesth. 2014; 61(12):1098-102. DOI: 10.1007/s12630-014-0237-3. View

3.
Wong A, Keeney L, Chen L, Williams R, Liu J, Elkassabany N . Effect of Local Anesthetic Concentration (0.2% vs 0.1% Ropivacaine) on Pulmonary Function, and Analgesia After Ultrasound-Guided Interscalene Brachial Plexus Block: A Randomized Controlled Study. Pain Med. 2016; 17(12):2397-2403. DOI: 10.1093/pm/pnw057. View

4.
Urmey W, Talts K, Sharrock N . One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography. Anesth Analg. 1991; 72(4):498-503. DOI: 10.1213/00000539-199104000-00014. View

5.
El-Boghdadly K, Chin K, Chan V . Phrenic Nerve Palsy and Regional Anesthesia for Shoulder Surgery: Anatomical, Physiologic, and Clinical Considerations. Anesthesiology. 2017; 127(1):173-191. DOI: 10.1097/ALN.0000000000001668. View