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Ultrasound-Guided Interscalene-Supraclavicular Block For An Intramedullary Nailing Of A Pathologic Humeral Fracture: Practical Application Of Ultrasound-Guided Regional Anesthesia, Christian Falyar

Christian R Falyar

Fractures of the proximal upper extremity present a challenge to the anesthesia provider when administering a regional anesthetic because the dermatomal distribution of the upper extremity requires more local anesthetic coverage than any single brachial plexus nerve block can provide. A 60-year-old woman underwent intramedullary nailing of a pathologic humeral fracture using a combination of regional and general anesthesia. This case study shows how ultrasound guidance permitted the performance of both an interscalene and supraclavicular nerve block for a single procedure without the increased volume of local anesthetic that would normally be required, while still providing complete coverage of the …