Intracompartmental Pressure Change After an Infraclavicular Brachial Plexus Block: A Case Series

Vol 8 | Issue 1 | January-April 2022 | Page: 14-16 | Luca Pecora, Roberto Procaccini, Danya Falcioni, Sandra Reschini, Luca Farinelli, Diego Tavoletti

DOI: 10.13107/jaccr.2022.v08i01.196


Author: Luca Pecora [1], Roberto Procaccini [2], Danya Falcioni [2], Sandra Reschini [1], Luca Farinelli [2], Diego Tavoletti [1]

[1] Department of Emergency, Anesthesia and Intensive care of Transplantation and Major Surgery, Ospedali Riuniti Ancona, Via Conca, Ancona, Italy.
[2] Department of Clinical and Molecular Science, Marche Polytechnic University, Ancona, Italy.

Address of Correspondence
Dr. Diego Tavoletti,
Department of Emergency, Anesthesia and Intensive care of Transplantation and Major Surgery, Ospedali Riuniti Ancona, Via Conca, Ancona, Italy.
E-mail: diego.tavoletti@libero.it


Abstract
Introduction:
Peripheral nerve block is a useful tool for pain relief in trauma patients. Despite this, its use in patients at high risk of developing acute compartment syndrome is still debated. Literature describes that peripheral nerve block causes vasodilatation and an increase in blood flow. However, no reports have evaluated the intracompartmental pressure change after a peripheral nerve block.
Cases presentation: We report five patients with forearm fracture undergoing infraclavicular brachial plexus block. Due to sedation and the unreliability of the clinical signs and symptoms for acute compartment syndrome, intermittent monitoring of intracompartmental pressure was performed before and after the nerve block.
Conclusions: The exact mechanism leading to intracompartmental pressure reduction after brachial plexus block is unclear. Research evaluating the contribution of peripheral nerve block in patients at high risk for acute compartment syndrome are needed.
Keywords: Intracompartmental pressure monitoring, Acute compartment syndrome, Regional anesthesia


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How to Cite this Article: Pecora L, Procaccini R, Falcioni D, Reschini S, Farinelli L, Tavoletti D | Intracompartmental Pressure Change After an Infraclavicular Brachial Plexus Block: A Case Series | Journal of Anaesthesia and Critical Care Case Reports | January-April 2022; 8(1): 14-16.

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