Combined Use Of Ultrasound Guided Infraclavicular Block And Lateral Femoral Cutaneous Nerve Block In Upper Extremity Reconstruction Requiring Large Skin Graft: Case Report
Alper Kılıçaslan1, Atilla Erol1, Ahmet Topal1, Muhammed Nebil Selimoglu2, Şeref Otelcioglu1
1Department Of Anaesthesiology And Intensive Care, Meram Medical Faculty, Selcuk University, Konya, Turkey
2Department Of Plastic Surgery, Meram Medical Faculty, Selcuk University, Konya, Turkey.
Keywords: Ultrasound, infraclavicular block, Lateral Femoral Cutaneous Nerve Block
Abstract
Combined nerve blocks of the upper extremity and lower limb in same operation rarely performed due to the risk of systemic toxicity of local anesthetics. Therefore, general anesthesia is generally preferred in this operations. However, use of ultrasound allows reliable deposition of the anesthetic around the nerves, potentially lowering the local anesthetic requirement.
In this case report, we present a 44-year-old, ASA physical status I, male patient who was operated for upper extremity reconstruction requiring skin graft from anterolateral thigh region under ultrasound-guided infraclavicular brachial plexus block and lateral femoral cutaneous nerve block. The block was successful and no block-related complications were noted. We think that combining an ultrasound guided infraclavicular brachial plexus block and a lateral femoral cutaneous nerve block is a clinically useful and safe technique and an alternative anesthetic opinion for procedures requiring skin grafts for the upper extremity.