Seizure complicating placement of a nerve stimulator-guided infraclavicular block: could the use of ultrasound decrease the risk?

Abstract The case of a patient who suffered a seizure following a nerve stimulator-guided coracoid infraclavicular brachial plexus block, is reported. Following the seizure, an ultrasound machine was used to image the patient's infraclavicular region, which showed an anatomical variation in the...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2010-12, Vol.22 (8), p.627-631
Main Authors: Khabiri, Babak, DO, Arbona, Fernando L., MD, Norton, John A., DO
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia & Perioperative Care
Anesthesia, Regional
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology
Biological and medical sciences
Brachial plexus
Brachial Plexus - diagnostic imaging
Case reports
Catheters
Electric Stimulation
Hand - surgery
Humans
Infraclavicular brachial plexus block
Male
Medical sciences
Middle Aged
Nerve Block - adverse effects
Nerve Block - methods
Pain Medicine
Regional anesthesia
Seizures - etiology
Ultrasonic imaging
Ultrasonography
Veins & arteries
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Summary:Abstract The case of a patient who suffered a seizure following a nerve stimulator-guided coracoid infraclavicular brachial plexus block, is reported. Following the seizure, an ultrasound machine was used to image the patient's infraclavicular region, which showed an anatomical variation in the position of the axillary vein relative to the axillary artery. The use of ultrasound in regional anesthesia provides additional safety information beyond nerve stimulation, which may help decrease the likelihood of such complications.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2009.09.016