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- Hyun Jung Kim, Sang Hyun Park, Hye Young Shin, and Yun Suk Choi.
- Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju, Korea.
- Korean J Pain. 2014 Jul 1; 27 (3): 210-8.
AbstractBrachial 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.
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