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Updated: Jul 19, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Total spinal anaesthesia after an attempted brachial plexus block using the posterior approach
1Department of Anaesthesiology, Leiden Universital Medical Center, Leiden, PO Box 6900, 2300 RC, Leiden, The Netherlands. j.m.grefkens@lumc.nl
Abstract:
A 66-year-old patient scheduled for elective shoulder surgery underwent a brachial plexus block using the posterior approach. Shortly after injection of the local anaesthetic, he rapidly became unresponsive and apnoeic. We identify the possible reasons for this occurrence and discuss the place of the posterior approach in brachial plexus anaesthesia.
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