Prolonged Interscalene Blockade for 30 Hours with 0.5% Plain Bupivacaine in a Case of Shoulder Arthroscopy
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Case Report
P: 423-425
October 2019

Prolonged Interscalene Blockade for 30 Hours with 0.5% Plain Bupivacaine in a Case of Shoulder Arthroscopy

Turk J Anaesthesiol Reanim 2019;47(5):423-425
1. Department of Anaesthesiology, Seth GS Medical College and KEM Hospital, Mumbai, India
No information available.
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Received Date: 16.07.2018
Accepted Date: 19.10.2018
Publish Date: 20.05.2019
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ABSTRACT

We present a case of unusually prolonged motor and sensory block for 30 hours after a successful single injection of ultrasound-guided interscalene block with 0.5% plain bupivacaine. All safety measures such as negative aspiration of blood injection at every 3 mL of drug with usual resistance, slow rate of injection and ultrasound documentation of spread of drug around C 5 and C 6 were followed. There was no evidence of neurological injury, but we should always be prepared to consider the possibility of nerve injury and take appropriate measures to prevent them.

Keywords:
Interscalene block, prolonged block, ultrasound-guided