Awake hand surgery under ultrasound-guided infraclavicular block is possible for cooperative children

Agri. 2016 Oct;28(4):190-193. doi: 10.5505/agri.2015.09327.

Abstract

In recent years, brachial plexus anesthesia techniques for upper limb surgery have been used more and more commonly on children; however, the patient is typically under deep sedation or general anesthesia. For eligible, cooperative children, surgery can also be performed using regional blocks while the patient is awake. We present 5 cases in which Ultrasound (US)-guided infraclavicular brachial plexus blocks (ICB) were used on children for hand or forearm surgery. Surgical anesthesia was achieved in all patients and surgery was completed uneventfully using brachial plexus anesthesia, without need for deep sedation.

Publication types

  • Case Reports

MeSH terms

  • Anesthetics, Local / administration & dosage
  • Brachial Plexus / diagnostic imaging*
  • Child
  • Child, Preschool
  • Female
  • Forearm / innervation
  • Forearm / surgery*
  • Hand / diagnostic imaging
  • Hand / innervation
  • Hand / surgery*
  • Humans
  • Male
  • Nerve Block / methods*
  • Postoperative Complications
  • Treatment Outcome
  • Ultrasonography, Interventional

Substances

  • Anesthetics, Local