Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000500510 |
Resumo: | Abstract Background and objectives: Costoclavicular brachial plexus block is an anesthesia performed through the infraclavicular route described in the literature as a safe and effective route for upper limb anesthesia distal to the elbow. The following report describes the case of a patient whose traditional plexus blocking techniques presented ultrasound visualization difficulty, but the costoclavicular approach was easy to visualize for anesthetic blockade. Case report: A grade 3 obese patient scheduled for repair of left elbow fracture and dislocation. Ultrasound examination revealed a distorted anatomy of the supraclavicular region and the axillary region with skin lesions, which made it impossible to perform the blockade in these regions. It was decided to perform an infraclavicular plexus block at the costoclavicular space, where the brachial plexus structures are more superficial and closer together, supported by a muscular structure, lateral to all adjacent vascular structures and with full view of the pleura. The anesthetic block was effective to perform the procedure with a single injection and uneventfully. Conclusion: Costoclavicular brachial plexus block is a good alternative for upper limb anesthesia distal to the elbow, being a safe and effective option for patients who are obese or have other limitations to the use of other upper limb blocking techniques. |
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Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patientsRegional anesthesiaBrachial plexus blockCostoclavicularUltrasoundObesityAbstract Background and objectives: Costoclavicular brachial plexus block is an anesthesia performed through the infraclavicular route described in the literature as a safe and effective route for upper limb anesthesia distal to the elbow. The following report describes the case of a patient whose traditional plexus blocking techniques presented ultrasound visualization difficulty, but the costoclavicular approach was easy to visualize for anesthetic blockade. Case report: A grade 3 obese patient scheduled for repair of left elbow fracture and dislocation. Ultrasound examination revealed a distorted anatomy of the supraclavicular region and the axillary region with skin lesions, which made it impossible to perform the blockade in these regions. It was decided to perform an infraclavicular plexus block at the costoclavicular space, where the brachial plexus structures are more superficial and closer together, supported by a muscular structure, lateral to all adjacent vascular structures and with full view of the pleura. The anesthetic block was effective to perform the procedure with a single injection and uneventfully. Conclusion: Costoclavicular brachial plexus block is a good alternative for upper limb anesthesia distal to the elbow, being a safe and effective option for patients who are obese or have other limitations to the use of other upper limb blocking techniques.Sociedade Brasileira de Anestesiologia2019-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000500510Revista Brasileira de Anestesiologia v.69 n.5 2019reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2019.09.003info:eu-repo/semantics/openAccessSilva,Grazielle RodriguesBorges,Danielle GonçalvesLopes,Iuri FerreiraRuzi,Roberto AraújoCosta,Paulo Ricardo Rabello de MacedoMandim,Beatriz Lemos da Silvaeng2019-12-16T00:00:00Zoai:scielo:S0034-70942019000500510Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2019-12-16T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients |
title |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients |
spellingShingle |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients Silva,Grazielle Rodrigues Regional anesthesia Brachial plexus block Costoclavicular Ultrasound Obesity |
title_short |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients |
title_full |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients |
title_fullStr |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients |
title_full_unstemmed |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients |
title_sort |
Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients |
author |
Silva,Grazielle Rodrigues |
author_facet |
Silva,Grazielle Rodrigues Borges,Danielle Gonçalves Lopes,Iuri Ferreira Ruzi,Roberto Araújo Costa,Paulo Ricardo Rabello de Macedo Mandim,Beatriz Lemos da Silva |
author_role |
author |
author2 |
Borges,Danielle Gonçalves Lopes,Iuri Ferreira Ruzi,Roberto Araújo Costa,Paulo Ricardo Rabello de Macedo Mandim,Beatriz Lemos da Silva |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Grazielle Rodrigues Borges,Danielle Gonçalves Lopes,Iuri Ferreira Ruzi,Roberto Araújo Costa,Paulo Ricardo Rabello de Macedo Mandim,Beatriz Lemos da Silva |
dc.subject.por.fl_str_mv |
Regional anesthesia Brachial plexus block Costoclavicular Ultrasound Obesity |
topic |
Regional anesthesia Brachial plexus block Costoclavicular Ultrasound Obesity |
description |
Abstract Background and objectives: Costoclavicular brachial plexus block is an anesthesia performed through the infraclavicular route described in the literature as a safe and effective route for upper limb anesthesia distal to the elbow. The following report describes the case of a patient whose traditional plexus blocking techniques presented ultrasound visualization difficulty, but the costoclavicular approach was easy to visualize for anesthetic blockade. Case report: A grade 3 obese patient scheduled for repair of left elbow fracture and dislocation. Ultrasound examination revealed a distorted anatomy of the supraclavicular region and the axillary region with skin lesions, which made it impossible to perform the blockade in these regions. It was decided to perform an infraclavicular plexus block at the costoclavicular space, where the brachial plexus structures are more superficial and closer together, supported by a muscular structure, lateral to all adjacent vascular structures and with full view of the pleura. The anesthetic block was effective to perform the procedure with a single injection and uneventfully. Conclusion: Costoclavicular brachial plexus block is a good alternative for upper limb anesthesia distal to the elbow, being a safe and effective option for patients who are obese or have other limitations to the use of other upper limb blocking techniques. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000500510 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000500510 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2019.09.003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.69 n.5 2019 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
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1752126630511247360 |