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, Gurumoorthi PalanichamyBilateral brachial plexus block is approached cautiously because of concerns regarding local anesthetic systemic toxicity, respiratory compromise, and bilateral upper-limb motor block. We describe a 60-year-old man with bilateral posterolateral elbow dislocation after a road traffic accident who underwent closed reduction and cast application under bilateral ultrasound-guided costoclavicular brachial plexus block using 10 mL of local anesthetic on each side. The procedure was completed without general anesthesia or deep sedation. This case highlights that low-volume bilateral costoclavicular block may provide effective procedural anesthesia for selected emergency bilateral upper-limb trauma when meticulous dosing, ultrasound guidance, and monitoring are used.