Pneumothorax after ultrasound-guided supraclavicular block: Presenting features, risk, and related training

Daniel J. Abell; Michael J. Barrington

doi:10.1097/AAP.0000000000000045

Pneumothorax after ultrasound-guided supraclavicular block: Presenting features, risk, and related training

Daniel J. Abell, Michael J. Barrington

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

OBJECTIVE: Presenting features and estimate of risk of pneumothorax after ultrasound-guided supraclavicular block are discussed, along with related training strategies. CASE REPORT: We describe a case of a patient with pneumothorax after an ultrasound-guided supraclavicular brachial plexus block for hand surgery. The delayed onset of pain initially on the nonoperative side combined with the absence of respiratory symptoms delayed recognition of the pneumothorax. CONCLUSIONS: We estimate the risk of pneumothorax to be 0.4 per 1000 after ultrasound-guided supraclavicular block. We recommend specific training strategies for needle visualization for this technique to reduce the risk of pneumothorax.

Original language	English (US)
Pages (from-to)	164-167
Number of pages	4
Journal	Regional anesthesia and pain medicine
Volume	39
Issue number	2
DOIs	https://doi.org/10.1097/AAP.0000000000000045
State	Published - Mar 2014
Externally published	Yes

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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abstract = "OBJECTIVE: Presenting features and estimate of risk of pneumothorax after ultrasound-guided supraclavicular block are discussed, along with related training strategies. CASE REPORT: We describe a case of a patient with pneumothorax after an ultrasound-guided supraclavicular brachial plexus block for hand surgery. The delayed onset of pain initially on the nonoperative side combined with the absence of respiratory symptoms delayed recognition of the pneumothorax. CONCLUSIONS: We estimate the risk of pneumothorax to be 0.4 per 1000 after ultrasound-guided supraclavicular block. We recommend specific training strategies for needle visualization for this technique to reduce the risk of pneumothorax.",

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AB - OBJECTIVE: Presenting features and estimate of risk of pneumothorax after ultrasound-guided supraclavicular block are discussed, along with related training strategies. CASE REPORT: We describe a case of a patient with pneumothorax after an ultrasound-guided supraclavicular brachial plexus block for hand surgery. The delayed onset of pain initially on the nonoperative side combined with the absence of respiratory symptoms delayed recognition of the pneumothorax. CONCLUSIONS: We estimate the risk of pneumothorax to be 0.4 per 1000 after ultrasound-guided supraclavicular block. We recommend specific training strategies for needle visualization for this technique to reduce the risk of pneumothorax.

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Pneumothorax after ultrasound-guided supraclavicular block: Presenting features, risk, and related training

Abstract

ASJC Scopus subject areas

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