{"pk":6600,"title":"Ultrasound-guided Supraclavicular Brachial Plexus Block for Therapeutic Management of Postoperative Compressive Brachial Plexus Neuropathy: A Case Report","subtitle":null,"abstract":"<p><strong>Introduction:</strong> Compressive neuropathy of the brachial plexus is a common issue following laparoscopic and robotic surgeries.</p>\n<p><br><strong>Case Report:</strong> A 71-year-old male, post-lumbar spinal surgery, presented with excruciating right upper extremity pain and paresthesias. A supraclavicular brachial plexus (SBP) block with bupivacaine provided significant pain relief, lasting 36 hours. Subsequent physical therapy led to gradual pain and weakness improvement in compressive neuropathy.</p>\n<p><br><strong>Discussion:</strong> The SBP block, facilitated by ultrasound guidance, is a safe procedure with few serious complications. It proves beneficial for managing postoperative compressive neuropathy, allowing patients to break pain cycles and participate in rehabilitation.</p>\n<p><br><strong>Conclusion:</strong> The SBP block is an effective addition to the management of postoperative compressive neuropathy, given its ease, safety, and potency. Although regional anesthesia provides only temporary relief, patients can experience a break in debilitating pain cycles associated with compressive neuropathy.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Supraclavicular Brachial Block"},{"word":"ultrasound"},{"word":"compressive neuropathy"},{"word":"brachial plexus"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9qb3k672","frozenauthors":[{"first_name":"Daniela","middle_name":"","last_name":"Usuga","name_suffix":"","institution":"Florida International University, Herbert Wertheim College of Medicine, Miami, Florida","department":""},{"first_name":"Sofia","middle_name":"","last_name":"Portuondo","name_suffix":"","institution":"Mount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, Florida","department":""},{"first_name":"David","middle_name":"","last_name":"Farcy","name_suffix":"","institution":"Florida International University, Herbert Wertheim College of Medicine, Department of Emergency Medicine and Critical Care, Miami, Florida","department":""},{"first_name":"Michael","middle_name":"","last_name":"Shalaby","name_suffix":"","institution":"Florida International University, Herbert Wertheim College of Medicine, Department of Emergency Medicine and Critical Care, Miami, Florida","department":""}],"date_submitted":"2023-11-30T16:42:37.428000-05:00","date_accepted":"2024-02-28T14:42:19.346000-05:00","date_published":"2024-06-14T09:00:00-04:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6600/galley/14445/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6600/galley/10807/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6600/galley/14445/download/"}]}