Sánchez-Ramírez CM, Luna-Medina CI, Olvera-González N, Blanco-de RN

Language: Spanish
References: 8
Page: 111-114
PDF size: 550.19 Kb.

ABSTRACT

Introduction: in anesthetic practice, bilateral brachial plexus block (BPB) is generally contraindicated due to the risks it entails, systemic toxicity from local anesthetics and bilateral phrenic nerve palsy. Since its indications are scarce, we present the case of a patient who was managed with bilateral regional anesthesia for both upper limbs at the same surgical time. Case presentation: 60-year-old male patient with diagnoses of Frikman III right distal radius fracture and Mayo III left olecranon fracture, scheduled for open reduction and internal fixation (ORIF) of the left olecranon and of the right distal radius, history of type 2 diabetes, systemic arterial hypertension and compensated chronic heart failure. Interventions: left supraclavicular and right infraclavicular BPB were performed as the only anesthetic procedure for bilateral upper limb surgery. Results: bilateral BPB was successful for bilateral upper limb surgery. The surgery was uneventful and without major complications. Conclusions: bilateral brachial plexus block is a safe technique when performed in different approaches, trying to minimize the risk of complications, providing better comfort in the immediate postoperative period of the patient by providing prolonged analgesia.

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