Korean J Anesthesiol.  2003 Aug;45(2):282-285. 10.4097/kjae.2003.45.2.282.

A Simultaneous Application of Brachial Plexus Block and Combined Spinal-Epidural Anesthesia for the Reduction of Radioulnar Fracture and Iliac Bone Graft : A Case Report

• Im JM
• Choi JS
• Park CH
• Lee CS
• Kim WT

• KMID: 2236728
• DOI: http://doi.org/10.4097/kjae.2003.45.2.282

Abstract

Brachial plexus block is a suitable, technique for surgery of the forearm, because it provides good intraoperative anesthesia and prolonged postoperative analgesia when long-acting local anesthetics are used. An eighty-year-old male patient was admitted to our hospital for right radioulnar fracture. He had active pulmonary tuberculosis, severe valvular heart disease, hypertension, mild subarachnoid hemorrhage and a difficult airway. So, we performed an infraclavicular block to treat the fracture site and used a nerve stimulator when median nerve dital response and musculocutaneous nerve response were sought, and combined spinal-epidural block for the iliac bone graft at the same time. Regional anesthesia many advantages compared to general anesthesia in extremity operation. Peripheral nerve block and neuraxial block, when used properly in combination, should be able to replace general anesthesia in the majority of cases.

Keyword

brachial plexus block; combined spinal-epidural block; infraclavicular block

MeSH Terms

Analgesia
Anesthesia*
Anesthesia, Conduction
Anesthesia, General
Anesthetics, Local
Brachial Plexus*
Extremities
Forearm
Heart Valve Diseases
Humans
Hypertension
Male
Median Nerve
Musculocutaneous Nerve
Peripheral Nerves
Subarachnoid Hemorrhage
Transplants*
Tuberculosis, Pulmonary
Anesthetics, Local