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Ultrasound-Guided Interscalene Brachial Plexus Block in a Patient With a Ventriculoperitoneal Shunt
- Article from:
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Regional Anesthesia and Pain Medicine
- Article date:
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May 1, 2008
- Author:
- Robards, Christopher B; Iwata, Takashige; Somasundaram, Lakshmanasamy; Xu, Daquan; Hadzic, Admir
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Copyright informationCopyright Churchill Livingstone Inc., Medical Publishers May/Jun 2008. Provided by ProQuest LLC. (Hide copyright information)
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To the Editor:
Interscalene brachial plexus block (IBPB) offers excellent postoperative analgesia and several advantages in patients having shoulder surgery.1,2 Prior to ultrasoundguided nerve blocks, a ventriculoperitoneal (V-P) shunt may have been considered a contraindication to IBPB due to the potential for damage to the indwelling V-P shunt. We recently managed an 83-year-old American Society of Anesthesiologists physical status classification m patient who was scheduled for hemiarthroplasty of her right shoulder following a proximal humerus fracture. Her past medical history was significant for normal pressure hydrocephalus for which she had previously received a V-P shunt as ...
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Review of Brachial Plexus Anatomy As Seen on Diagnostic Imaging: Clinical...
Regional Anesthesia and Pain Medicine;
January 1, 2007 ;
Ajar, Amir; Hoeft, Mark; Alsofrom, Gary F; Mukerji, Suresh K; Rathmell, James P;
787 words
...Brachial plexus block provides anesthesia to all...invasive cancer through neurolytic brachial plexus block.5 In a previous report by Mukherji...computed tomography-guided (CT-guided) brachial plexus block and initial results for regional...
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Etiological risk factors for brachial plexus palsy
Journal of Maternal - Fetal & Neonatal Medicine;
October 1, 2006 ;
Hudic, Igor; Fatusic, Zlatan; Sinanovic, Osman; Skokic, Fahrija;
787 words
......Aim. To investigate risk factors for brachial plexus palsy in newborns. We analyzed 45...characteristics, 86 newborns with brachial plexus palsy had been recorded, thus, the...that the highest factors of risk for brachial plexus injury were birth weight of over 4000...
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Brachial plexus anesthesia: Essentials of our current understanding
Regional Anesthesia and Pain Medicine;
July 1, 2002 ;
Neal, Joseph M; Hebl, James R; Gerancher, J C; Hogan, Quinn H;
787 words
...Brachial plexus regional anesthesia has been a mainstay...comprehensive resource pertaining to brachial plexus anesthesia. Initially presented as...1) serve as a review of pertinent brachial plexus anatomy, (2) compare the efficacy...
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Brachial plexus injury rate unchanged in 20 years.(Obstetrics)
OB GYN News;
December 1, 2004 ;
Moon, Mary Ann;
525 words
...WASHINGTON -- The rate of brachial plexus injury, as well as that of permanently disabling brachial plexus injury, hasn't changed in 20 years...interventions thought to prevent the brachial plexus injury (BPI) or ameliorate its effects...
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Injury to the brachial plexus by a fragment of bone after fracture of the...
Journal of Bone and Joint Surgery;
July 1, 1997 ;
Barbier, O; Malghem, J; Delaere, O; Berg, B Vande; Rombouts, J J;
787 words
......occasionally responsible for lesions of the brachial plexus. The symptoms are usually delayed...on the retroclavicular part of the brachial plexus, leading to early symptoms of a lesion...clavicle and external neurolysis of the brachial plexus gave an almost full recovery. J Bone...
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Visualization of the Brachial Plexus in the Supraclavicular Region Using a...
Regional Anesthesia and Pain Medicine;
March 1, 2006 ;
Tsui, Ban C H; Twomey, Ciaran; Finucane, Brendan T;
758 words
......anesthesia using a linear probe for brachial plexus blocks in the interscalene,5 supraclavicular...IO) when performing supraclavicular brachial plexus blocks. For plexus identification...At this point, the trunks of the brachial plexus were identified as a cluster of circles...
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Continuous brachial plexus block at the cervical level using a posterior...
Regional Anesthesia and Pain Medicine;
November 1, 2001 ;
Vranken, Jan H; van der Vegt, Marinus H; Zuurmond, Wouter W A; Pijl, Aarnout J; Dzoljic, Misa;
787 words
......pain due to tumor growth near the brachial plexus is often treated with a combination...placement of a catheter along the brachial plexus using a posterior approach for patients...administration of local anesthetics via a brachial plexus catheter inserted at the cervical...
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Sonography of Scalene Muscle Anomalies for Brachial Plexus Block
Regional Anesthesia and Pain Medicine;
March 1, 2007 ;
Kessler, Jens; Gray, Andrew T;
502 words
......can sometimes result in incomplete brachial plexus anesthesia.1 Although supraclavicular blocks have been advocated because the brachial plexus is compact in that location, the anatomic...complete interscalene block of the brachial plexus. Many mechanisms for incomplete ...
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C-Section Advocated in Women With a History Of Brachial Plexus Injury.
OB GYN News;
June 1, 2001 ;
KIRN, TIMOTHY F.;
452 words
......who have had a baby with a previous brachial plexus injury, Dr. William M. Gilbert recommended...University of California, Davis. Not all brachial plexus injuries occur during the birth process...forceps or a vacuum. Nonetheless, many brachial plexus injuries occur in association ...
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Combined injuries of the brachial plexus and spinal cord
Journal of Bone and Joint Surgery;
May 1, 2006 ;
Akita, S; Wada, E; Kawai, H;
787 words
......combined traumatic injuries of the brachial plexus and spinal cord were reviewed retrospectively. Brachial plexus paralysis in such dual injuries...responsible for the delayed diagnosis of brachial plexus paralysis and the poor prognosis...
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Risk Factors for Perinatal Brachial Plexus Injury.(Statistical Data...
American Family Physician;
August 1, 1999 ;
518 words
...Perinatal injury to the brachial plexus is uncommon, occurring in 0...more than one half of cases of brachial plexus dysfunction at birth, no shoulder...speculation that the cause of brachial plexus dysfunction may not necessarily...
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The Sheath of the Brachial Plexus? A Matter of Life and Death/Reply to Dr....
Regional Anesthesia and Pain Medicine;
July 1, 2008 ;
Cornish, Philip; Franco, Carlo D;
787 words
......purported to demonstrate the brachial plexus sheath. At least part of...axilla, nor does it cover the brachial plexus. Figures 4 and 5 of Franco...in the axilla nor of the brachial plexus. This dissection is of a...
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Ultrasound-Guided Supraclavicular Brachial Plexus Block: A Modified...
Regional Anesthesia and Pain Medicine;
November 1, 2006 ;
Collins, Adam B; Gray, Andrew T; Kessler, Jens;
663 words
......and is regarded as a general-purpose brachial plexus block that facilitates surgery on...seek inherently safer sites along the brachial plexus. Ultrasound-guided regional anesthesia...shortcomings of the supraclavicular brachial plexus block, given that the brachial ...
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The cervical rib: A predisposing factor for obstetric brachial plexus...
Journal of Bone and Joint Surgery;
July 1, 2002 ;
Becker, M H-J; Lassner, F; Bahm, J; Ingianni, G; Pallua, N;
787 words
......surrounds the aetiology of obstetric brachial plexus lesions. Most authors consider that...by traction or compression of the brachial plexus during delivery. Some patients, however...discussed the aetiology of obstetric brachial plexus palsy. At the beginning of the 20th...
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Gross Anatomy of the Brachial Plexus Sheath in Human Cadavers
Regional Anesthesia and Pain Medicine;
January 1, 2008 ;
Franco, Carlo D; Rahman, Abed; Voronov, Gennadiy; Kerns, James M; Beck, Robert J; Buckenmaier, Chester C III;
787 words
......to macroscopically demonstrate the brachial plexus sheath in embalmed and fresh cadaver...around the neurovascular bundle of the brachial plexus was visible to the naked eye in every...Pain Med 2008;33:64-69. Key Words: Brachial plexus. Sheath, Anatomy. The existence of...
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