|
KMID : 0363120140270030210
|
|
Korean Journal of Pain
2014 Volume.27 No. 3 p.210 ~ p.218
|
|
|
Brachial Plexus Injury as a Complication after Nerve Block or Vessel Puncture
|
|
Kim Hyun-Jung
Park Sang-Hyun
Shin Hye-Young
Choi Yun-Suk
|
|
|
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.
|
|
|
KEYWORD
|
|
|
brachial plexus, brachial plexus neuropathies, nerve block, subclavian vein
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|