Brachial Plexus Block above the level of clavicle in Multi-Comorbid Patients with Difficult Surface Landmarks and Cervical Ankylosing Spondylosis
Vol 5 | Issue 2 | July-December 2024 | Page 10-12| Nitin Gawai, Sandeep Diwan, Ganesh Bhong, Sunil Dixit, Parag Sancheti
DOI: https://doi.org/10.13107/ijra.2024.v05.i02.94
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2024; The Author(s).
Submitted: February 18-07-2024; Reviewed: 12-09-2024; Accepted: 14-10-2024; Published: 10-12-2024
Authors: Nitin Gawai [1], Sandeep Diwan [1], Ganesh Bhong [2], Sunil Dixit [1], Parag Sancheti [3]
[1] Department of Anesthesiology, Sancheti Hospital, Pune, Maharashtra, India.
[2] Anesthesiology Consultant, Pune, Maharashtra, India.
[3] Department of Orthopaedics, Sancheti Hospital, Pune, Maharashtra, India.
Address of Correspondence
Dr. Nitin Gawai,
Department of Anesthesiology, Sancheti Hospital, Pune, Maharashtra, India.
E-mail: drnitingawai@yahoo.com
Abstract
Blocks above the clavicle [BAC- interscalene and supraclavicular] are routinely performed with surface anatomical landmark, and recently with ultrasound. Landmark techniques involving mid-point of clavicle is routinely used. However, with abnormal topography of the clavicle anatomy, the landmarks are distorted. Both, neurostimulation and ultrasound face stiff challenges in patients with abnormal clavicle anatomy. In four patients, with abnormal clavicle, BAC was attempted for surgical corrections of proximal and shaft of humerus. Though landmark and ultrasound guided blocks were successful, we reveal the importance of alternative landmarks and possible complications that might may be associated with abnormal anatomical landmarks.
Keywords: Brachial Plexus Block, Multi-Comorbid Patients, Difficult Surface Landmarks, Cervical Ankylosing Spondylosis
References
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| How to Cite this Article: Gawai N, Diwan S, Bhong G, Dixit S, Sancheti P | Brachial Plexus Block above the level of clavicle in Multi-Comorbid Patients with Difficult Surface Landmarks and Cervical Ankylosing Spondylosis | International Journal of Regional Anaesthesia | July-December 2024; 5(2): 10-12 | DOI: https://doi.org/10.13107/ijra.2024.v05.i02.94 |
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