Ultrasound-Guided, Continuous Brachial Plexus Blockade in a Neonate With Upper Extremity Limb Ischemia: A Case Report

Richard M. Hubbard, Ellise C. Cappuccio, David P. Martin, Olamide O. Dairo, Timothy P. Smith, Marco Corridore, Tarun Bhalla, Joseph D. Tobias

Research output: Contribution to journalArticle

Abstract

Regional anesthetic blocks, especially in-dwelling catheters, are infrequently used in neonates and infants. The following report describes a neonate with a gangrenous right upper extremity requiring multiple painful debridements over several weeks. A brachial plexus catheter was placed using ultrasound guidance, and a continuous infusion of a local anesthetic was used to provide postoperative pain control. After the initial procedures, bolus doses of a local anesthetic agent provided surgical anesthesia for dressing changes, thus obviating the need for multiple general anesthetics. This case demonstrates the potential efficacy of regional techniques to both treat pain and limit anesthetic exposures in neonates.

Original languageEnglish (US)
Pages (from-to)190-192
Number of pages3
JournalA&A practice
Volume12
Issue number6
DOIs
StatePublished - Mar 15 2019
Externally publishedYes

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Upper Extremity
Anesthetics
Ischemia
Newborn Infant
Local Anesthetics
General Anesthetics
Indwelling Catheters
Brachial Plexus
Debridement
Bandages
Postoperative Pain
Catheters
Anesthesia
Pain
Brachial Plexus Block

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ultrasound-Guided, Continuous Brachial Plexus Blockade in a Neonate With Upper Extremity Limb Ischemia : A Case Report. / Hubbard, Richard M.; Cappuccio, Ellise C.; Martin, David P.; Dairo, Olamide O.; Smith, Timothy P.; Corridore, Marco; Bhalla, Tarun; Tobias, Joseph D.

In: A&A practice, Vol. 12, No. 6, 15.03.2019, p. 190-192.

Research output: Contribution to journalArticle

Hubbard, Richard M. ; Cappuccio, Ellise C. ; Martin, David P. ; Dairo, Olamide O. ; Smith, Timothy P. ; Corridore, Marco ; Bhalla, Tarun ; Tobias, Joseph D. / Ultrasound-Guided, Continuous Brachial Plexus Blockade in a Neonate With Upper Extremity Limb Ischemia : A Case Report. In: A&A practice. 2019 ; Vol. 12, No. 6. pp. 190-192.
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