Cervical Epidural Anesthesia for Treatment of Bilateral Humeral Fracture in Beach Chair Position. Case Report

Abstract

Fractures of the proximal humerus are uncommon in young patients.We found some cases of bilateral humerus fracture due to trauma, including an 18-month-old child. However, in none of these cases was reported the type of anesthesia used when operated. Choosing the safe anesthetic technique is an essential prerogative of the anesthesiologist.Depends on age, pre-existing systemic diseases and type of surgery.Administration of local anesthetic into the cervical epidural space results in anesthesia of cervical plexus, brachial plexus and superior thoracic dermatomes. We report a rare case of bilateral traumatic displaced proximal humerus fractures in a 34 years old male, conducted with epidural cervical anesthesia. In this case cervical epidural anesthesia performed with a catheter providing high-quality anesthesia and postoperative analgesia for more than 24 hours and no need for blood replacement.