Ultrasound-Guided Supraclavicular Block in a Patient with Toxic Goiter and Exposed Wrist FractureGuadalupe Zaragoza-Lemus1 and Estela Melman2*
- *Corresponding Author:
- Estela Melman
Department of Anesthesiology
The American British Cowdry Medical Center, Mexico City, Mexico
Tel: 5255 52027174
Fax: 5255 52510523
E-mail: [email protected]
Received Date: October 13, 2013; Accepted Date: February 18, 2014; Published Date: February 21, 2014
Citation: Zaragoza-Lemus G, Melman E (2014) Ultrasound-Guided Supraclavicular Block in a Patient with Toxic Goiter and Exposed Wrist Fracture. Emergency Med 4:177. doi:10.4172/2165-7548.1000177
Copyright: © 2014 Zaragoza-Lemus G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
We report the case of an elderly woman with cervical deformity due to a large diffuse goiter and predictive data for a difficult airway, alteration of all thyroid hormone levels and an exposed wrist fracture. After a pre-block ultrasound scan, the supraclavicular approach to the brachial plexus was selected because the gland growth was in the anterior to posterior axis, without displacement of the anatomical structures in the neck. We then proceeded to insert the needle using an in-plane technique with a linear probe in an oblique coronal plane to inject the local anesthetic and observe its adequate diffusion. Excellent anesthesia was achieved for the surgical procedure avoiding other complications.