Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone

We present a case of unexpectedly prolonged motor and sensory block following a successful single injection ultrasound – guided infraclavicular block with bupivacaine (0.25%) and dexamethasone (8 mg). ultrasound guidance and safety measurement such as injection of the local anaesthetic at a slow rat...

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Autores principales: Aghdashi, Mir Moussa, Dehghan, Kasra, Shokohi, Shahram, Shafagh, Shahrzad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3833043/
https://www.ncbi.nlm.nih.gov/pubmed/24282779
http://dx.doi.org/10.5812/aapm.10583
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author Aghdashi, Mir Moussa
Dehghan, Kasra
Shokohi, Shahram
Shafagh, Shahrzad
author_facet Aghdashi, Mir Moussa
Dehghan, Kasra
Shokohi, Shahram
Shafagh, Shahrzad
author_sort Aghdashi, Mir Moussa
collection PubMed
description We present a case of unexpectedly prolonged motor and sensory block following a successful single injection ultrasound – guided infraclavicular block with bupivacaine (0.25%) and dexamethasone (8 mg). ultrasound guidance and safety measurement such as injection of the local anaesthetic at a slow rate and verifying that usual resistance was felt throughout the injection, has been applied. It took 42 hours for the block to go away. Although there was no evidence of neurologic injury but we should always be prepared to consider the possibility of nerve injury and take appropriate measures.
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spelling pubmed-38330432013-11-26 Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone Aghdashi, Mir Moussa Dehghan, Kasra Shokohi, Shahram Shafagh, Shahrzad Anesth Pain Med Case Report We present a case of unexpectedly prolonged motor and sensory block following a successful single injection ultrasound – guided infraclavicular block with bupivacaine (0.25%) and dexamethasone (8 mg). ultrasound guidance and safety measurement such as injection of the local anaesthetic at a slow rate and verifying that usual resistance was felt throughout the injection, has been applied. It took 42 hours for the block to go away. Although there was no evidence of neurologic injury but we should always be prepared to consider the possibility of nerve injury and take appropriate measures. Kowsar 2013-09-01 2013-09 /pmc/articles/PMC3833043/ /pubmed/24282779 http://dx.doi.org/10.5812/aapm.10583 Text en Copyright © 2013, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM) http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Aghdashi, Mir Moussa
Dehghan, Kasra
Shokohi, Shahram
Shafagh, Shahrzad
Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
title Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
title_full Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
title_fullStr Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
title_full_unstemmed Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
title_short Unusually Prolonged Motor and Sensory Block Following Single Injection Ultrasound-Guided Infraclavicular Block With Bupivacaine and Dexamethasone
title_sort unusually prolonged motor and sensory block following single injection ultrasound-guided infraclavicular block with bupivacaine and dexamethasone
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3833043/
https://www.ncbi.nlm.nih.gov/pubmed/24282779
http://dx.doi.org/10.5812/aapm.10583
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