Articular and cutaneous nerve block at elbow: two cases report

Diwan, Sandeep; Nair, Abhijit

doi:10.1016/j.bjane.2020.06.010

Cited by 3 publications

(1 citation statement)

References 5 publications

(4 reference statements)

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“…The addition of ultrasound-guided anesthetic injections such as the “elbow plexus block” described by Diwan and Nair can be added to provide adequate anesthesia for the elbow joint capsule while still retaining motor function. 9 , 10 The second case had shoulder stiffness because of the delayed surgical treatment, which again is not addressed by the local anesthetic injection.…”

Section: Discussionmentioning

confidence: 99%

Wide-Awake Approach for Terrible Triad Injury Fixation: A Report of Two Cases

Magtoto¹,

Alagar²

2023

Journal of Hand Surgery Global Online

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Section: Discussionmentioning

confidence: 99%

Wide-Awake Approach for Terrible Triad Injury Fixation: A Report of Two Cases

Magtoto¹,

Alagar²

2023

Journal of Hand Surgery Global Online

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Regional anesthesia for acute pain management in pre-hospital and in-hospital emergency medicine

Fichtner,

Schrofner-Brunner,

Magath

et al. 2023

Deutsches Ärzteblatt International

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Peri-humeral block for postoperative analgesia in patients with distal humerus surgery: A case series

Nair

Diwan²,

Dongre³

et al. 2023

Saudi J Anaesth

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The brachial plexus blocks (BPBs) are routinely performed for all surgeries in the vicinity of the elbow joint. Phrenic nerve paresis is a major problem with above-clavicle blocks especially the interscalene approach. The primary aim of this pilot study was to assess feasibility and to evaluate if perioperative pain management with the articular and cutaneous nerve block, the peri-humeral block (PHB) resulted in decreased use of opioid consumption in the intraoperative and postoperative period for the first 24 hours. Twenty-four patients with distal humerus fracture received ultrasound (US)-guided PHB as part of their perioperative anesthetic management. The primary aim was to evaluate block efficacy in terms of time to first analgesia and opioid consumption in first 24 hours. US in real time revealed that in all patients the local anesthetic was optimally deposited. Due to a stable intraoperative hemodynamics, none of the patients required additional opioid doses. The median pain scores over 24 hours were 2.4 with IQR (0-3.8). The mean time to first analgesic was 425.417 ± 229.005 min. There were no adverse effects reported at the time of hospital discharge. Though the US-guided PHB would not replace the BPB, in some special circumstances, it would be desirable to implement the former block which has opioid and motor sparing features and incorporate with multimodal analgesia.

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Articular and cutaneous nerve block at elbow: two cases report

Cited by 3 publications

References 5 publications

Wide-Awake Approach for Terrible Triad Injury Fixation: A Report of Two Cases

Wide-Awake Approach for Terrible Triad Injury Fixation: A Report of Two Cases

Regional anesthesia for acute pain management in pre-hospital and in-hospital emergency medicine

Peri-humeral block for postoperative analgesia in patients with distal humerus surgery: A case series

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