Brachial Plexus Injury as a Complication after Nerve Block or Vessel Puncture.
10.3344/kjp.2014.27.3.210
- Author:
Hyun Jung KIM
1
;
Sang Hyun PARK
;
Hye Young SHIN
;
Yun Suk CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju, Korea. solafide5@yahoo.co.kr
- Publication Type:Review
- Keywords:
brachial plexus;
brachial plexus neuropathies;
nerve block;
subclavian vein
- MeSH:
Brachial Plexus Neuropathies;
Brachial Plexus*;
Hematoma;
Humans;
Needles;
Nerve Block*;
Punctures*;
Subclavian Vein
- From:The Korean Journal of Pain
2014;27(3):210-218
- CountryRepublic of Korea
- Language:English
-
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.
