• A&A practice · Mar 2019

    Case Reports

    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, and Joseph D Tobias.
    • From the Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.
    • A A Pract. 2019 Mar 15; 12 (6): 190-192.

    AbstractRegional 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.

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