Skip to main content
Article
Ultrasound-Guided Interscalene-Supraclavicular Block for an Intramedullary Nailing of a Pathologic Humeral Fracture: Practical Application of Ultrasound-Guided Regional Anesthesia
AANA Journal (2014)
  • Christian R Falyar, Virginia Commonwealth University
Abstract
Fractures of the proximal upper extremity present a challenge to the anesthesia provider when administering a regional anesthetic because the dermatomal distribution of the upper extremity requires more local anesthetic coverage than any single brachial plexus nerve block can provide. A 60-year-old woman underwent intramedullary nailing of a pathologic humeral fracture using a combination of regional and general anesthesia. This case study shows how ultrasound guidance permitted the performance of both an interscalene and supraclavicular nerve block for a single procedure without the increased volume of local anesthetic that would normally be required, while still providing complete coverage of the entire upper extremity.
Disciplines
Publication Date
Summer June, 2014
Citation Information
Christian R Falyar. "Ultrasound-Guided Interscalene-Supraclavicular Block for an Intramedullary Nailing of a Pathologic Humeral Fracture: Practical Application of Ultrasound-Guided Regional Anesthesia" AANA Journal Vol. 82 Iss. 3 (2014)
Available at: http://works.bepress.com/christian_falyar/2/