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http://dx.doi.org/10.3344/kjp.2014.27.3.210

Brachial Plexus Injury as a Complication after Nerve Block or Vessel Puncture  

Kim, Hyun Jung (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine)
Park, Sang Hyun (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine)
Shin, Hye Young (Department of Anesthesiology and Pain Medicine, Kosin University College of Medicine)
Choi, Yun Suk (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine)
Publication Information
The Korean Journal of Pain / v.27, no.3, 2014 , pp. 210-218 More about this Journal
Abstract
Brachial plexus injury is a potential complication of a brachial plexus block or vessel puncture. It results from direct needle trauma, neurotoxicity of injection agents and hematoma formation. The neurological presentation may range from minor transient pain to severe sensory disturbance or motor loss with poor recovery. The management includes conservative treatment and surgical exploration. Especially if a hematoma forms, it should be removed promptly. Comprehensive knowledge of anatomy and adept skills are crucial to avoid nerve injuries. Whenever possible, the patient should not be heavily sedated and should be encouraged to immediately inform the doctor of any experience of numbness/paresthesia during the nerve block or vessel puncture.
Keywords
brachial plexus; brachial plexus neuropathies; nerve block; subclavian vein;
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Times Cited By KSCI : 2  (Citation Analysis)
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