Ultrasound-guided Supraclavicular Brachial Plexus Block for Therapeutic Management of Postoperative Compressive Brachial Plexus Neuropathy: A Case Report

Overview

Journal Clin Pract Cases Emerg Med

Specialty Emergency Medicine

Date 2024 Aug 19

PMID 39158239

Authors

Daniela Usuga

Sofia Portuondo

David Farcy

Michael Shalaby

Affiliations

Soon will be listed here.

Abstract

Introduction: Compressive neuropathy of the brachial plexus is a common issue following laparoscopic and robotic surgeries.

Case Report: A 71-year-old male, post-lumbar spinal surgery, presented with excruciating right upper extremity pain and paresthesias. A supraclavicular brachial plexus (SBP) block with bupivacaine provided significant pain relief, lasting 36 hours. Subsequent physical therapy led to gradual pain and weakness improvement in compressive neuropathy.

Discussion: The SBP block, facilitated by ultrasound guidance, is a safe procedure with few serious complications. It proves beneficial for managing postoperative compressive neuropathy, allowing patients to break pain cycles and participate in rehabilitation.

Conclusion: The SBP block is an effective addition to the management of postoperative compressive neuropathy, given its ease, safety, and potency. Although regional anesthesia provides only temporary relief, patients can experience a break in debilitating pain cycles associated with compressive neuropathy.

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