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Revista Brasileira de Anestesiologia
On-line version ISSN 1806-907X
CONCEICAO, Diogo Brüggemann da; HELAYEL, Pablo Escovedo and CECATO, Fernanda. Infraclavicular vertical brachial plexus blockade in patients with chronic obstructive pulmonary disease: case report. Rev. Bras. Anestesiol. [online]. 2006, vol.56, n.5, pp. 507-510. ISSN 1806-907X. http://dx.doi.org/10.1590/S0034-70942006000500008.
BACKGROUND AND OBJECTIVES: Patients with Chronic Obstructive Pulmonary Disease (COPD) have a higher risk of postoperative complications, especially when undergoing general anesthesia. Brachial plexus blockade is an alternative for these patients when they undergo upper limb surgeries. The objective of this report is to present a case of infraclavicular brachial plexus blockade in patients with COPD and a fractured elbow. CASE REPORT: A female patient, 67 years old, 52 kg, physical status ASA III, with post-pneumonia bronchiectasis since nine years of age and an indication of osteosynthesis of the elbow. She presented productive cough regularly; after evaluation, her pneumologist cleared her for the surgery. The patient was monitored with non-invasive blood pressure. ECG, and pulse oximeter. Infraclavicular brachial plexus blockade with 0.5% ropivacaine 30 mL was performed, without intercurrences. The patient was discharged from the hospital the following day. CONCLUSIONS: Infraclavicular brachial plexus blockade is an alternative for patients with COPD and fracture of the elbow, due to its lower morbidity when compared to general anesthetic.
Keywords : ANESTHETIC TECHNIQUES, Regional [brachial plexus blockade]; SURGERY, Orthopedic [osteosynthesis].