Ultrasonographic evaluation of neck hematoma and block salvage after failed neurostimulation-guided interscalene block

Abstract Ultrasound-guided regional anesthetic techniques have shown some advantages over conventional paresthesia and neurostimulation techniques. We report the case of a neurostimulation-guided continuous interscalene block that would have ended in complication were it not for experience with ultr...

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Veröffentlicht in:	Journal of clinical anesthesia 2010-11, Vol.22 (7), p.560-561
Hauptverfasser:	Howell, Stephen M., MD, Unger, M.W. Todd, MD, MS, Colson, James D., MD, MS, Serafini, Mario, DO
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia Anesthesia & Perioperative Care Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Brachial Plexus - diagnostic imaging Complication Electric Stimulation - methods Hematoma Hematoma - diagnostic imaging Humans Interscalene Male Medical equipment Medical sciences Middle Aged Neck - pathology Nerve Block - adverse effects Nerve Block - methods Neurostimulation Pain Medicine Salvage Ultrasonography, Interventional - methods Ultrasound Veins & arteries
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Zusammenfassung:	Abstract Ultrasound-guided regional anesthetic techniques have shown some advantages over conventional paresthesia and neurostimulation techniques. We report the case of a neurostimulation-guided continuous interscalene block that would have ended in complication were it not for experience with ultrasound-guided regional anesthesia. Familiarity with ultrasound-guided block techniques permitted assessment of a neck hematoma during interscalene block and ultimately allowed successful peripheral nerve block.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/j.jclinane.2009.09.012