Anesthesia & Clinical Research
Open Access

Department of Anesthesiology, Teaching hospital Anuradhapura, Sri Lanka

Publications

• Case Report   
  Bilateral Brachial Plexus Block and Avoiding Its Complications: A Case Report
  Author(s): Hapugoda Minura* and Kariyawasam Kadlp
  
  Literature on performing bilateral brachial plexus blocks is rare as it’s seldom performed due to the reluctance of anaesthesiologist. It’s due to the fear of the associated complications such as hemi-diaphragmatic paralysis, local anaesthetic systemic toxicity, and pneumothorax and block failure. We present the case of a 21-year-old patient flowing a road traffic accident with anticipated difficult airway, who underwent bilateral upper limb surgery where bilateral brachial plexus blocks were used as the sole mode of anaesthesia. Through careful patient selection, use of ultrasound guidance to reduce the minimum effective volume of local anaesthetic and to identify anatomy to prevent inadvertent injury, prevention of rapid rise of plasma concentration of local and using a combination of brachial plexus blocks the potential complications can be mitigat.. View More»
  DOI: 10.35248/2155-6148.21.12.1011

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