USG GUIDENCE TO RESCUE IN A CASE OF RESECTION ARTHOPLASTY OF HUMERAL HEAD WITH DISPLACED BRACHIAL PLEXUS
Dr. Akshay Bhumkar*, Dr. Prasad Kulkarni, Dr. Shailesh Kumar, Dr. Radhika K., Dr. Aishwarya Joshi
ABSTRACT
Peripheral nerve blocks can be customized and used for anaesthesia, post-operative analgesia and diagnosis and treatment of chronic pain disorders. It can be used both for elective as well as emergency surgeries. Brachial plexus block was first done by William Steward Halsted. Later different approaches have been designed in order to block Brachial plexus at various levels. Various techniques used to locate the peripheral nerves include paresthesia techniques, peripheral nerve stimulation and ultrasound guidance. Visualization of the target structures as well as the visualization of the needle and the spread of local anesthetic after injection in ultrasound guided technique has increased the success rate of the procedure and reduced risk of complications, block performance time, number of needle insertions and volume of local anesthetic agents. Ultrasound for supraclavicular brachial plexus block has improved the success rate of block with excellent localization as well as improved safety margin.
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