[Pneumothorax in vertical infraclavicular block of the brachial plexus. Review of a rare complication].

Abstract

A 50 year old female patient received anaesthesia of the arm by the vertical infraclavicular blockade of the plexus brachialis (VIP). Postoperatively an ipsilateral pneumothorax occurred complicated by pleural effusion and a contralateral bronchopneumonia, which resolved completely after treatment. The blockade of the plexus was performed correctly, failures in determining the correct point of needle insertion could be excluded. Therefore a pneumothorax has to be regarded as a specific complication of the VIP, which might occur despite correct technique, and requires that the patient be informed of this eventuality. Nevertheless, the VIP is an important method due to its high success rate concerning blockade of the musculocutaneous nerve and tolerance of tourniquet. The risk of a pneumothorax is about 0.2 to 0.7%.

• Authors: M Neuburger, H Landes, H Kaiser
• Journal: Der Anaesthesist (Anaesthesist) Vol. 49 Issue 10 Pg. 901-4 (Oct 2000) ISSN: 0003-2417 [Print] Germany
• Vernacular Title: Pneumothorax bei der Vertikalen Infraklavikulären Blockade des Plexus brachialis. Fallbericht einer seltenen Komplikation.
• PMID: 11100255 (Publication Type: Case Reports, Journal Article)

Topics

• Arm (surgery)
• Brachial Plexus
• Female
• Humans
• Intraoperative Complications (diagnostic imaging, epidemiology, etiology)
• Middle Aged
• Nerve Block
• Orthopedic Procedures
• Pneumothorax (diagnostic imaging, epidemiology, etiology)
• Radiography
• Risk Assessment