Blockade of intercostobrachial nerve by an erector spinae plane block at T2 level: a case report

JA Clinical Reports

Case Report

Tatsuo Nakamoto¹  Takayuki Yoshida¹ 

[1] Department of Anesthesiology, Kansai Medical University Medical Center, 10-15 Fumizono-Cho, 570-8507, Moriguchi City, Osaka, Japan;

关键词: Brachial plexus block;    Brachial vein transposition arteriovenous fistula;    Erector spinae plane block;    Intercostobrachial nerve;    Lateral cutaneous branch;    Paravertebral block;    Thoracic wall block;   

DOI  :  10.1186/s40981-023-00641-9

 received in 2023-06-14, accepted in 2023-07-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe intercostobrachial nerve blockade is required, in addition to brachial plexus block, to anesthetize the entire upper arm. No studies have described the use of erector spinae plane (ESP) block for an intercostobrachial nerve block.Case presentationA 72-year-old man was scheduled to undergo left brachial vein transposition-arteriovenous fistula creation for hemodialysis access. An ultrasound-guided infraclavicular brachial plexus block was performed using a mixture of 0.5% levobupivacaine (12.5 ml) and 2% lidocaine (12.5 ml). An ESP block was implemented using 10 ml of the same local anesthetic at the T2 level. A pinprick test showed that the entire upper arm and lateral aspect of the left upper chest wall were anesthetized 20 min after the blocks. Surgery was successfully performed without the need for general anesthesia.ConclusionsIn the present case, an ESP block performed at the T2 level provided sensory loss of the area innervated by the intercostobrachial nerve.

【 授权许可】

CC BY   
© The Japanese Society of Anesthesiologists 2023

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