Debridement of axillary necrotizing fasciitis under anesthetic blocks of the serratus plane and supraclavicular brachial plexus: a case report

• Published in: Brazilian journal of anesthesiology (Elsevier) Vol. 73; no. 1; pp. 104 - 107
• Main Authors: Oliveira, Leonardo Saraiva Guimar.úes de, Chaves, Renata de Andrade
• Format: Journal Article
• Language: English
• Published: Brazil Elsevier España, S.L.U 01-01-2023; Elsevier
• Subjects: Anesthetics, Local; Axilla; Brachial Plexus; Brachial Plexus Block - methods; Brachial plexus blocks; Case Reports; Debridement; Fasciitis, Necrotizing - surgery; Humans; Intermediate back muscles; Pain; Regional anesthesia; Thoracic wall; Ultrasonography, Interventional - methods; Axilla; Case reports; Brachial plexus blocks; Regional anesthesia; Thoracic wall; Intermediate back muscles
• ISSN: 0104-0014; 0104-0014; 2352-2291
• DOI: 10.1016/j.bjane.2021.02.055

The regional techniques for axillary analgesia are well established. However, few studies have investigated surgical anesthesia. In this report, extensive debridement of axillary necrotizing fasciitis, including the posteromedial region of the right arm, performed under exclusive regional anesthesia in a patient with probable difficult airway is described. The procedure was accomplished under a Serratus Plane Block (SPB) and supraclavicular brachial plexus block, guided by ultrasound, and with venous sedation. We observed satisfactory anesthesia 15 minutes after the intervention, efficient intraoperative pain control and within the following 24.Çëhours. Surgical axilla anesthesia is feasible with the described blocks.