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Prolonged brachial plexus block with 0.42% bupivacaine.
M S Brockway1, A W Winter, J A Wildsmith
1Department of Anaesthesia, Royal Infirmary, Edinburgh.
British Journal of Anaesthesia
|November 1, 1989
Summary
A patient experienced a prolonged brachial plexus block lasting 40 hours after receiving bupivacaine. This case highlights extended nerve block duration, impacting recovery timelines.
Area of Science:
- Anesthesiology
- Neuroscience
Background:
- Brachial plexus blocks are common regional anesthesia techniques.
- Bupivacaine is a widely used local anesthetic for these procedures.
Observation:
- A 55-year-old male underwent a left supraclavicular brachial plexus block.
- The block utilized 0.42% bupivacaine for anesthesia.
Findings:
- Profound motor and sensory blockades were observed.
- The block persisted for 26 hours post-injection.
- Complete neurological recovery was documented at 40 hours.
Implications:
- This case suggests a potential for prolonged nerve blockade with bupivacaine.
- Extended block duration may necessitate longer patient monitoring and management.
- Further research into factors influencing bupivacaine block duration is warranted.