Key result
Ultrasound guidance allows direct visualization to potentially improve brachial plexus block safety during heparin anticoagulation.
Case Report (n=1)
Ultrasound guidance allows direct visualization that may facilitate the safe performance of continuous infraclavicular brachial plexus blocks in anticoagulated patients.
Ultrasound may facilitate continuous infraclavicular blocks in anticoagulated patients; leaves open need for prospective safety data before practice change.
In Brief The author describes the use of ultrasound to facilitate a continuous infraclavicular brachial plexus block in a patient who had been anticoagulated with 5000 U of heparin. The procedure was done 2 h after the patient was anticoagulated, and his activated clotting time was 203 s. The patient had vascular checks with a laser Doppler monitor every hour and neurological checks every 12 h. IMPLICATIONS: Ultrasound allowed direct visualization for performance of a brachial plexus block in an anticoagulated patient. This may have made the procedure safer.
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Paul E. Bigeleisen (2007) conducted a case report in Anticoagulated patient requiring regional anesthesia (n=1). Ultrasound-guided continuous infraclavicular brachial plexus block was evaluated on Direct visualization and procedural safety. Ultrasound allowed direct visualization for the performance of a continuous infraclavicular brachial plexus block in a heparin-anticoagulated patient, potentially improving procedural safety.
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