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Anaesthesia and post-operative analgesia for a patient with traumatic mid arm amputation with a continuous infraclavicular nerve block: A case report.

Welikala ND, Kulasiri RDS

Post operative care following traumatic upper limb amputation includes provision of adequate analgesia, infection control and rehabilitation. Continuous Peripheral Nerve Block (CPNB) has been reported to provide enough intraoperative anesthesia and postoperative analgesia. The use of ultrasound guidance has improved the success rate, safety and the ease of performance of peripheral nerve blocks. We present a 35-year-old man who suffered from a stable odontoid fracture and a traumatic amputation of the left arm where ultrasound-guided infraclavicular block was used to provide analgesia and anaesthesia for wound toilet completely avoiding general anaesthesia. Continuous bupivacaine infusion through a catheter provided high quality postoperative analgesia.