Ultrasound-Guided Interscalene Brachial Plexus Block in a Patient With a Ventriculoperitoneal Shunt

Robards, Christopher B.; Iwata, Takashige; Somasundaram, Lakshmanasamy; Xu, Daquan; Hadžić, Admir

doi:10.1016/j.rapm.2007.04.012

Cited by 2 publications

(1 citation statement)

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“…11 Although head and neck blocks for VP shunt procedures are recognized techniques and have been described in a pediatric regional anesthesia review, 1 the literature currently lacks a report investigating the efficacy of regional adjuncts for shunt placement or revision. Previous reports on regional anesthesia in pediatric patients with in situ shunts are limited but suggest that most techniques can be performed safely.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Peripheral Nerve Blocks for Ventricular Shunt Revision in Children

King

Anderson

2014

A & A Case Reports

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We describe using ultrasound-guided peripheral nerve blocks for postoperative pain control in 2 children undergoing ventricular shunt surgery. In the first patient undergoing ventriculo-peritoneal shunt revision, a combination of ultrasound-guided greater occipital nerve, superficial cervical plexus, and transversus abdominis plane blocks was used. In the second patient undergoing ventriculo-pleural shunt revision, a combination of ultrasound-guided greater occipital nerve, superficial cervical plexus, and intercostal blocks was used. Both patients, who underwent multiple revisions during their hospitalizations, showed decreased analgesic requirements after regional anesthesia. Our experience suggests this combined block technique may provide beneficial postoperative analgesia for patients undergoing shunt revision.

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Section: Discussionmentioning

confidence: 99%