Articular and cutaneous nerve block at elbow: two cases report

Bibliographic Details
Main Author: Diwan,Sandeep
Publication Date: 2020
Other Authors: Nair,Abhijit
Format: Report
Language: eng
Source: Revista Brasileira de Anestesiologia (Online)
Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000400429
Summary: Abstract Background and objectives: In patients with elbow fractures, when there is suspected injury to underlying nerves, it is imperative for surgeons to elicit the function in the immediate postoperative period. Brachial plexus blocks like interscalene, supraclavicular and infraclavicular approaches can be a hurdle in such situations. The block planned should allow assessment of integrity of the nerves immediately in the postoperative period. Case report: We describe two cases in which we administered a block not yet described in literature. We blocked the cutaneous and articular branches innervating the elbow under ultrasound guidance. General anesthesia was administered in both cases. The block provided stable intraoperative hemodynamics, good postoperative analgesia and also allowed surgeons to test the viability of the nerve. Conclusion: In situations where nerves are injured during elbow fractures, selective articular cutaneous block at elbow can be used as it provides good perioperative analgesia, besides allowing evaluation of motor and sensory components in the postoperative period.
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spelling Articular and cutaneous nerve block at elbow: two cases reportRegional anesthesiaAcute painFractureElbowUltrasoundAbstract Background and objectives: In patients with elbow fractures, when there is suspected injury to underlying nerves, it is imperative for surgeons to elicit the function in the immediate postoperative period. Brachial plexus blocks like interscalene, supraclavicular and infraclavicular approaches can be a hurdle in such situations. The block planned should allow assessment of integrity of the nerves immediately in the postoperative period. Case report: We describe two cases in which we administered a block not yet described in literature. We blocked the cutaneous and articular branches innervating the elbow under ultrasound guidance. General anesthesia was administered in both cases. The block provided stable intraoperative hemodynamics, good postoperative analgesia and also allowed surgeons to test the viability of the nerve. Conclusion: In situations where nerves are injured during elbow fractures, selective articular cutaneous block at elbow can be used as it provides good perioperative analgesia, besides allowing evaluation of motor and sensory components in the postoperative period.Sociedade Brasileira de Anestesiologia2020-08-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000400429Revista Brasileira de Anestesiologia v.70 n.4 2020reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2020.06.010info:eu-repo/semantics/openAccessDiwan,SandeepNair,Abhijiteng2020-10-22T00:00:00Zoai:scielo:S0034-70942020000400429Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2020-10-22T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false
dc.title.none.fl_str_mv Articular and cutaneous nerve block at elbow: two cases report
title Articular and cutaneous nerve block at elbow: two cases report
spellingShingle Articular and cutaneous nerve block at elbow: two cases report
Diwan,Sandeep
Regional anesthesia
Acute pain
Fracture
Elbow
Ultrasound
title_short Articular and cutaneous nerve block at elbow: two cases report
title_full Articular and cutaneous nerve block at elbow: two cases report
title_fullStr Articular and cutaneous nerve block at elbow: two cases report
title_full_unstemmed Articular and cutaneous nerve block at elbow: two cases report
title_sort Articular and cutaneous nerve block at elbow: two cases report
author Diwan,Sandeep
author_facet Diwan,Sandeep
Nair,Abhijit
author_role author
author2 Nair,Abhijit
author2_role author
dc.contributor.author.fl_str_mv Diwan,Sandeep
Nair,Abhijit
dc.subject.por.fl_str_mv Regional anesthesia
Acute pain
Fracture
Elbow
Ultrasound
topic Regional anesthesia
Acute pain
Fracture
Elbow
Ultrasound
description Abstract Background and objectives: In patients with elbow fractures, when there is suspected injury to underlying nerves, it is imperative for surgeons to elicit the function in the immediate postoperative period. Brachial plexus blocks like interscalene, supraclavicular and infraclavicular approaches can be a hurdle in such situations. The block planned should allow assessment of integrity of the nerves immediately in the postoperative period. Case report: We describe two cases in which we administered a block not yet described in literature. We blocked the cutaneous and articular branches innervating the elbow under ultrasound guidance. General anesthesia was administered in both cases. The block provided stable intraoperative hemodynamics, good postoperative analgesia and also allowed surgeons to test the viability of the nerve. Conclusion: In situations where nerves are injured during elbow fractures, selective articular cutaneous block at elbow can be used as it provides good perioperative analgesia, besides allowing evaluation of motor and sensory components in the postoperative period.
publishDate 2020
dc.date.none.fl_str_mv 2020-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000400429
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjane.2020.06.010
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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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.70 n.4 2020
reponame:Revista Brasileira de Anestesiologia (Online)
instname:Sociedade Brasileira de Anestesiologia (SBA)
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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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