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Anesth Analg 2007;105:275-277
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000266492.65813.10

ANALGESIA

Pneumothorax After Coracoid Infraclavicular Brachial Plexus Block

James C. Crews, MD, J. C. Gerancher, MD, and Robert S. Weller, MD

From the Department of Anesthesiology, Section on Regional Anesthesia and Acute Pain Management, Wake Forest University School of Medicine, Winston-Salem, North Carolina.

Address correspondence to James Crews, MD, Department of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1009. Address e-mail to jcrews{at}wfubmc.edu.

Abstract

Several variations on the technique for infraclavicular brachial plexus block have been described. The coracoid infraclavicular technique has become popular because of easily identified landmarks, reliable distribution of blockade, and low risk of respiratory complications such as pneumothorax. We report a case of pneumothorax in a patient after a coracoid infraclavicular brachial plexus block. Subtleties in landmark identification and measurement may affect the risk of pneumothorax.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.