Ultrasonographic evaluation of neck hematoma and block salvage after failed neurostimulation-guided interscalene block.
Ultrasound-guided regional anesthetic techniques have shown some advantages over conventional paresthesia and neurostimulation techniques. We report the case of a neurostimulation-guided continuous interscalene block that would have ended in complication were it not for experience with ultrasound-guided regional anesthesia. Familiarity with ultrasound-guided block techniques permitted assessment of a neck hematoma during interscalene block and ultimately allowed successful peripheral nerve block.
Department of Anesthesiology, West Virginia University School of Medicine, One Medical Center Dr, Morgantown, WV 26506-9134, USA. howells2@wvuh.com
Stephen M
SM
Howell
M W Todd
MW
Unger
James D
JD
Colson
Mario
M
Serafini
D001917:Brachial Plexus / Q000000981:diagnostic imaging; D004558:Electric Stimulation / Q000379:methods; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000473:pathology; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*