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

Ultrasound guidance to facilitate low interscalene brachial plexus block in a patient with indwelling hemodialysis catheter

“…In addition to suboptimal flow rates, pulmonary embolism occurs in 15-25% of patients with symptomatic CVC-related thrombosis. 3,4 In summary, similar to patients with ventriculoperitoneal shunts, 5 ultrasound guidance can also be used to accomplish a successful IBPB and to reduce the risk of injury to hemodialysis access devices in patients with endstage renal disease. …”