Brachial plexus injury of getting BPI. The site and type of brachial plexus injury determine the prognosis. Avulsion and rupture injuries require timely surgical intervention for any chance of recovery. For milder injuries involving buildup of scar tissue and for neurapraxia, the potential for improvement varies, but there is a fair prognosis for spontaneous recovery, with a 90–100% return of function. Brachial plexus injury A brachial plexus injury (BPI), also known as brachial plexus lesion, is an injury to the brachial plexus, the network of nerves that conducts signals from the spinal cord to the shoulder, arm and hand. These nerves originate in
Brachial plexus block collapse. In severe cases, cardiac dysrhythmia, cardiac arrest and death may occur. Other rare but serious complications from brachial plexus block include pneumothorax and persistent paresis of the phrenic nerve. Complications associated with interscalene and supraclavicular blocks include inadvertent subarachnoid or epidural injection of local anesthetic, which can result in respiratory failure. Because of the close proximity of the lung to the brachial plexus at the level of the clavicle, the complication most often associated with this block is pneumothorax — with a risk as high as 6.1%. Further complications of supraclavicular block include subclavian artery puncture, and spread of