Blok Pleksus Brakhialis Infraklavicula Vertikal Pada Close Fraktur 1/3 Tengah Humerus

The regional anesthesia was performed to 31 years old woman with diagnose as Closed Fracture of the median third of the left humerus. The physical status of patient was ASA I. Patient had no comorbid disease and was planned to undergo ORIF surgery. Patient was premedicated with midazolam 2 mg and fentanyl 50 mcg intravenously. Plexus Brachialis with Vertical Infraclavicula technique was performed. 10 ml Lidocaine 1% and 10 ml Bupivacaine 0,5% was adminestered in this block. During the surgical process, Patient was under sedation. Surgery was done in two hours with a stable hemodynamics state. Patient was observed in recovery room for two hours post operative. When good level of consciousness and stable hemodynamic state was being reached patient was able to discharge to the ward, Pain score with visual analogue score was 1-2.

Telah dilakukan penatalaksanaan anestesi regional berupa blok Pleksus brakialis Infraklavikula Vertikal pada seorang wanita usia 31 tahun yang didiagnosis fraktur tertutup sepertiga tengah humerus kiri dengan ASA I yang akan menjalani operasi ORIF. Pasien dipremedikasi dengan midazolam 2 mg dan fentanyl 50 mcg intravena. Blok Pleksus Brakhialis dilakukan dengan menggunakan pendekatan Infraklavikula Vertikal. Agen yang digunakan adalah lidokain 1% sebanyak 10 ml dan bupivakain 0,5% isobarik sebanyak 10 ml. Operasi berlangsung selama dua jam dengan hemodinamik pasien stabil. Pasca operasi pasien diobservasi di ruang pulih sadar selama 2 jam. Status kesadaran dan hemodinamik selama observasi baik. Skala nyeri menggunakan VAS menunjukkan angka 1-2. Pasien kemudian diperbolehkan kembali ke bangsal.