Abstract

Some trauma and orthopedic pathology procedures must be performed immediately; delaying them can lead to a poor prognosis and sequelae that compromise patients’ quality of life. However, patients sometimes present with comorbidities such as respiratory infections, which can increase the risk of adverse events during the perioperative period, such as laryngospasm, bronchospasm, and desaturation, and can be life-threatening. Furthermore, if general anesthesia is required, the spread of these pathogens to the lower airway can increase the risk of ventilator-associated pneumonia. With the advent of ultrasound and its use in regional anesthesia, risks have been reduced, techniques have been refined, and postoperative pain has been better controlled. Brachial plexus block can be performed using various approaches. The recently described ultrasound-guided costoclavicular block in the costoclavicular space has gained popularity, showing promising results for upper limb anesthesia and postoperative analgesia. This block is presented as an alternative to the traditional infraclavicular approach, with results showing better block quality and a lower risk of complications.

Keywords

Costoclavicular block, regional anesthesia, respiratory tract infection