Key result
Ultrasound-guided supraclavicular block linked to acute respiratory distress requiring intubation in an ESRD patient.
Case Report (n=1)
Ultrasound-guided supraclavicular brachial plexus block can cause acute respiratory failure in high-risk patients with limited respiratory reserve, emphasizing the need for careful patient selection and monitoring.
Alerts to rare respiratory complications after supraclavicular block; leaves open optimal block selection and monitoring in high-risk patients.
This paper presents a case of acute respiratory failure after a successful Ultrasound guided supraclavicular brachial plexus block.Through this report we wish to highlight the importance of a thorough pre-operative assessment to identify high risk patients and close monitoring after the block for such complications to reduce adverse outcomes.Reducing the local anesthetic volume, ultrasound guided techniques and infra-clavicular or axillary brachial plexus blocks should be considered in high risk patients.
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Muruganath et al. (2018) conducted a case report in End stage renal failure requiring dialysis (n=1). Ultrasound-guided supraclavicular brachial plexus block was evaluated on Acute respiratory distress. A 69-year-old female with end-stage renal failure developed acute respiratory distress requiring tracheal intubation shortly after an ultrasound-guided supraclavicular brachial plexus block.
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