Lateral sagittal infraclavicular block: A case report of three patients.

Abstract

Magnetic resonance imaging (MRI) analysis performed on healthy volunteers assessed the effectiveness of brachial plexus block via the lateral sagittal infraclavicular approach to be easy-performed and relatively safe. In this case report, we presented three cases to whom we performed infraclavicular block via the lateral sagittal approach. One of our cases was a high risk patient with osteomyelitis of the elbow joint and the other was a patient who had required surgery for Dupuytren's contracture. The third one was a patient admitted to emergency room who had got open metacarps fractures. Lateral sagittal infraclavicular block was planned in all of the patients. Twenty minutes after local anesthetic (LA) injection, sufficient surgical anesthesia was achieved. Non of the patients developed vascular puncture, LA toxicity and pneumothorax. In conclusion, LSIB appears to be an easy, a safe and a more acceptable approach for the patient, therefore a good alternative.