Usuga Daniela, Portuondo Sofia, Farcy David, Shalaby Michael
Florida International University, Herbert Wertheim College of Medicine, Miami, Florida.
Mount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, Florida.
Clin Pract Cases Emerg Med. 2024 Aug;8(3):235-238. doi: 10.5811/cpcem.6600.
Compressive neuropathy of the brachial plexus is a common issue following laparoscopic and robotic surgeries.
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.
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.
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.
臂丛神经受压性神经病是腹腔镜手术和机器人手术后的常见问题。
一名71岁男性，腰椎手术后出现右上肢剧痛和感觉异常。布比卡因锁骨上臂丛神经（SBP）阻滞显著缓解了疼痛，持续36小时。随后的物理治疗使受压性神经病的疼痛和无力逐渐改善。
在超声引导下进行的SBP阻滞是一种安全的操作，严重并发症较少。它被证明对治疗术后受压性神经病有益，使患者能够打破疼痛循环并参与康复。
鉴于SBP阻滞操作简便、安全且有效，它是术后受压性神经病治疗的有效补充。虽然区域麻醉只能提供暂时缓解，但患者可经历与受压性神经病相关的衰弱性疼痛循环的中断。
