Abstract
The use of peripheral nerve block as the sole anesthetic in infants is not very common. Studies have demonstrated that ultrasound guided (USG) peripheral nerve block is associated with higher overall success rate when compared with nerve stimulation (Rubin et al., 2009, and Gelfand et al., 2011). Described below is a medically complex infant who had an USG axillary brachial plexus block for peripherally inserted central catheter (PICC) placement.
Highlights
The use of peripheral nerve block as the sole anesthetic in infants is not very common
Studies have demonstrated that ultrasound guided (USG) peripheral nerve block is associated with higher overall success rate when compared with nerve stimulation (Rubin et al, 2009, and Gelfand et al, 2011)
At the PICU, she was lying on a wedge with her body slightly tilted to the left, breathing spontaneously with oxygen per nasal cannula, with suprasternal retractions, with NG tube attached to a continuous suction, and hemodynamically stable
Summary
The use of peripheral nerve block as the sole anesthetic in infants is not very common. Studies have demonstrated that ultrasound guided (USG) peripheral nerve block is associated with higher overall success rate when compared with nerve stimulation (Rubin et al, 2009, and Gelfand et al, 2011). Described below is a medically complex infant who had an USG axillary brachial plexus block for peripherally inserted central catheter (PICC) placement.
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