INTERSCALENE BRACHIAL PLEXUS BLOCK IN PATIENT WITH SPINA BIFIDA: CASE REPORT

Brachial plexus is responsible for the entire motor function and most of the sensory function of the upper extremity. Anesthesia of the upper extremity and shoulder region can be achieved by blocking the brachial plexus from different sites. Since the interscalene block success rate is high (there is little side effect and it is easy to implement), its use in shoulder and upper limb surgical is becoming increasingly widespread. In this case, we present a patient who has undergone interscalene brachial plexus block using prilocain-bupivacain with stimplex. The case was a 26 year-old male diagnosed with spina bifida and subjected to shunt operation due to hydrocephalus. At the same time, the patient was on dialysis treatment 2 days a week for chronic renal failure. In the medical history of the case, there were epilepsy, paraplegic asthma, and pigeon chest. The patient's micrognathic thyroglossal distance was short, and the mallampati score was 4. He was prepared for surgery with intramedullary cement augmentation and screw stabilization with the right humerus fracture. The patient had hydrocephalus, chronic renal failure, pigeon breast, asthma, and difficult intubation criteria. Therefore, when considering the risks, interscalene brachial plexus block was preferred to avoid multiple drug use. As a result, we think that regional anesthesia is a good alternative to other anesthesia in high-risk patients