# Ultrasound-guided Supraclavicular Brachial Plexus Block for Therapeutic Management of Postoperative Compressive Brachial Plexus Neuropathy: A Case Report

## TL;DR

An ultrasound-guided brachial plexus block provided effective pain relief for a patient with post-surgery nerve compression.

## Contribution

Demonstrates the effectiveness of ultrasound-guided SBP block in managing postoperative brachial plexus neuropathy.

## Key findings

- Ultrasound-guided SBP block with bupivacaine provided 36 hours of significant pain relief.
- The block allowed the patient to break the pain cycle and engage in physical therapy.
- SBP block is a safe and effective temporary solution for managing compressive neuropathy pain.

## Abstract

Compressive neuropathy of the brachial plexus is a common issue following laparoscopic and robotic surgeries.

A 71-year-old male, post-lumbar spinal surgery, presented with excruciating right upper extremity pain and paresthesias. A supraclavicular brachial plexus (SBP) block with bupivacaine provided significant pain relief, lasting 36 hours. Subsequent physical therapy led to gradual pain and weakness improvement in compressive neuropathy.

The SBP block, facilitated by ultrasound guidance, is a safe procedure with few serious complications. It proves beneficial for managing postoperative compressive neuropathy, allowing patients to break pain cycles and participate in rehabilitation.

The SBP block is an effective addition to the management of postoperative compressive neuropathy, given its ease, safety, and potency. Although regional anesthesia provides only temporary relief, patients can experience a break in debilitating pain cycles associated with compressive neuropathy.