<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032025000200111</article-id>
<article-id pub-id-type="doi">10.35366/119206</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bloqueo del plexo braquial bilateral ecoguiado, abordaje supraclavicular e infraclavicular en cirugía de miembro superior más seguimiento ecoguiado de dinámica diafragmática. Un reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Ultrasound-guided bilateral brachial plexus block, supraclavicular and infraclavicular approach in upper limb surgery plus ultrasound-guided monitoring of diaphragmatic dynamics. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Ramírez]]></surname>
<given-names><![CDATA[Cristian Misael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna-Medina]]></surname>
<given-names><![CDATA[Cinthya Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olvera-González]]></surname>
<given-names><![CDATA[Natael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco-de la Rosa]]></surname>
<given-names><![CDATA[Noé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Naval Secretaría de Marina-Armada de México Servicio de Anestesiología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Naval Secretaría de Marina-Armada de México ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Médico Naval Secretaría de Marina-Armada de México ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Médico Naval Secretaría de Marina-Armada de México ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>48</volume>
<numero>2</numero>
<fpage>111</fpage>
<lpage>114</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032025000200111&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032025000200111&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032025000200111&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  en la práctica anestésica el bloqueo bilateral del plexo braquial (BPB) generalmente se contraindica por los riesgos que conlleva, toxicidad sistémica por anestésicos locales y parálisis bilateral del nervio frénico. Por lo tanto, sus indicaciones son escasas. Se presenta el caso de un paciente que es manejado con anestesia regional bilateral para ambos miembros superiores en un mismo tiempo quirúrgico.  Presentación de caso:  masculino de 60 años con diagnósticos de fractura de radio distal derecho Frikman III y fractura de olécranon izquierdo mayo III, programado para reducción abierta y fijación interna (RAFI) de olécranon izquierdo y RAFI de radio distal derecho, historia de diabetes tipo 2, hipertensión arterial sistémica e insuficiencia cardíaca crónica compensada. Intervenciones: se realizó BPB supraclavicular izquierdo e infraclavicular derecho como único procedimiento anestésico para la cirugía bilateral de los miembros superiores.  Resultados:  el BPB bilateral fue exitoso para la cirugía bilateral de los miembros superiores. La cirugía transcurrió sin incidentes y sin mayores complicaciones.  Conclusiones:  el bloqueo bilateral del plexo braquial es una técnica segura cuando se realiza en abordajes distintos, tratando de disminuir al mínimo el riesgo de complicaciones, se proporciona un mejor confort en el postoperatorio inmediato del paciente brindándole analgesia prolongada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  in anesthetic practice, bilateral brachial plexus block (BPB) is generally contraindicated due to the risks it entails, systemic toxicity from local anesthetics and bilateral phrenic nerve palsy. Since its indications are scarce, we present the case of a patient who was managed with bilateral regional anesthesia for both upper limbs at the same surgical time.  Case presentation:  60-year-old male patient with diagnoses of Frikman III right distal radius fracture and Mayo III left olecranon fracture, scheduled for open reduction and internal fixation (ORIF) of the left olecranon and of the right distal radius, history of type 2 diabetes, systemic arterial hypertension and compensated chronic heart failure. Interventions: left supraclavicular and right infraclavicular BPB were performed as the only anesthetic procedure for bilateral upper limb surgery.  Results:  bilateral BPB was successful for bilateral upper limb surgery. The surgery was uneventful and without major complications.  Conclusions:  bilateral brachial plexus block is a safe technique when performed in different approaches, trying to minimize the risk of complications, providing better comfort in the immediate postoperative period of the patient by providing prolonged analgesia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bloqueo bilateral plexo braquial]]></kwd>
<kwd lng="es"><![CDATA[bloqueo infraclavicular y supraclavicular]]></kwd>
<kwd lng="es"><![CDATA[anestesia regional]]></kwd>
<kwd lng="en"><![CDATA[bilateral brachial plexus block]]></kwd>
<kwd lng="en"><![CDATA[infraclavicular and supraclavicular block]]></kwd>
<kwd lng="en"><![CDATA[regional anesthesia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fractura múltiple en miembro superior. Caso clínico]]></article-title>
<source><![CDATA[Acta Ortop Mex]]></source>
<year>2014</year>
<volume>28</volume>
<page-range>54-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Chung]]></surname>
<given-names><![CDATA[YH]]></given-names>
</name>
<name>
<surname><![CDATA[Ko]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reduced hemidiaphragmatic paresis with a &#8220;Corner Pocket&#8221; technique for supraclavicular brachial plexus block: single-center, observer-blinded, randomized controlled trial]]></article-title>
<source><![CDATA[Reg Anesth Pain Med]]></source>
<year>2018</year>
<volume>43</volume>
<page-range>720-4</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Raid]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multiple concomitant injuries in one upper extremity: a case report]]></article-title>
<source><![CDATA[Am J Case Rep]]></source>
<year>2016</year>
<volume>17</volume>
<page-range>6-11</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mejia-Terrazas]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[Garduño-Juárez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Limón-Muñoz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bloqueo bilateral del plexo braquial. Reporte de casos y revisión sistemática de la literatura]]></article-title>
<source><![CDATA[Cirugía y Cirujanos]]></source>
<year>2015</year>
<volume>83</volume>
<page-range>312-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ventura-Pérez]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Leal-Gudiño]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Luján Ureño-y Prieto]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bloqueo de plexo braquial infraclavicular ecoguiado comparando dos abordajes: coracoideo versus costoclavicular, evaluación de la evidencia científica]]></article-title>
<source><![CDATA[Rev Mex Anest]]></source>
<year>2018</year>
<volume>41</volume>
<page-range>117-23</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[BG]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Choi]]></surname>
<given-names><![CDATA[WJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bilateral brachial plexus block in a patient with cervical spinal cord injury: A case report]]></article-title>
<source><![CDATA[Medicine (Baltimore)]]></source>
<year>2020</year>
<volume>99</volume>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sivashanmugam]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Maurya]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ipsilateral hemidiaphragmatic paresis after a supraclavicular and costoclavicular brachial plexus block: a randomised observer blinded study]]></article-title>
<source><![CDATA[Eur J Anaesthesiol]]></source>
<year>2019</year>
<volume>36</volume>
<page-range>787-95</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Urbano]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Tusman]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio sonográfico del diafragma. una nueva herramienta diagnóstica para el anestesiólogo]]></article-title>
<source><![CDATA[Rev Chil Anest]]></source>
<year>2018</year>
<volume>47</volume>
<page-range>110-24</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
