Bilateral Costoclavicular Brachial Plexus Block for Closed Reduction of Bilateral Elbow Dislocation: A Case Report and Review of the Literature.
Tuhin Mistry, Priadarshini Shanmugam, Vivekanandan Natarajan et al.
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Case in brief
A 60-year-old man presented with bilateral posterolateral elbow dislocation following a road traffic accident. He underwent closed reduction and cast application under a bilateral ultrasound-guided costoclavicular brachial plexus block, receiving 10 mL of local anesthetic on each side. The procedure was successfully completed without the need for general anesthesia or deep sedation.
Diagnostic / clinical pearl
This case demonstrates that a low-volume bilateral costoclavicular brachial plexus block can be an effective anesthetic technique for managing bilateral upper-limb trauma in emergency settings.
Why it matters
The findings emphasize the importance of careful dosing and monitoring when using regional anesthesia techniques in high-risk scenarios.