Key result
Ultrasound-guided lateral sagittal infraclavicular block provided effective and safe anesthesia for lower arm surgery in a patient with flexion contracture where nerve stimulation was not possible.
Case Report (n=1)
No
Ultrasound-guided lateral sagittal infraclavicular block can be effectively and safely used for lower arm surgery in patients with flexion contracture where nerve stimulation is not possible.
May enable block when stimulation fails in contracture; hypothesis-generating, needs prospective validation before practice change.
Ultrasound (US)-guided lateral sagittal infraclavicular block (LSIB) is a technique of regional anesthesia that is used for anesthesia and analgesia in lower arm surgery. US emerges as an essential source for peripheral nerve block in cases of the nerve stimulator is not to possible to use. We presented that US-guided LSIB was successfully applied for finger amputation in a 80-years female patient with flexion contracture in the left hand due to previous cerebrovascular disease, because this was not reported previously in the literature.
No takes yet. Share an insight, caveat, or question.
Onur Palabıyık (2015) conducted a case report in Flexion contracture requiring finger amputation (n=1). Ultrasound-guided lateral sagittal infraclavicular block was evaluated on Adequate sensory block for surgery. Ultrasound-guided lateral sagittal infraclavicular block provided effective and safe anesthesia for lower arm surgery in a patient with flexion contracture where nerve stimulation was not possible.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: