Phrenic Nerve Function after Interscalene Block Revisited
نویسندگان
چکیده
منابع مشابه
Persistent phrenic nerve paralysis following interscalene brachial plexus block.
A 60-yr-old man, 160 cm tall, weighing 75 kg, with American Society of Anesthesiologists physical status class II, was admitted for elective right shoulder surgery. His medical history was unremarkable except for recent mild diabetes with no related neuropathy, controlled by diet and glimepiride. Physical examination results were unremarkable, and the results of laboratory studies were all with...
متن کاملPhrenic nerve block caused by interscalene brachial plexus block: breathing effects of different sites of injection
BACKGROUND Interscalene brachial plexus (ISB) block is often associated with phrenic nerve block and diaphragmatic paresis. The goal of our study was to test if the anterior or the posterior ultrasound guided approach of the ISB is associated with a lower incidence of phrenic nerve blocks and impaired lung function. METHODS This was a prospective, randomized and single-blinded study of 84 pat...
متن کاملPhrenic nerve palsy following interscalene brachial plexus block; a long lasting serious complication.
Interscalene brachial plexus block (ISBPB) offers good analgesia for painful surgical procedures on the shoulder. We here describe two cases of long-term phrenic palsy following ISBPB that occurred in our practice in a relative short time period and both clearly illustrate the devastating impact of this complication for the patient. We will discuss the benefit of ISBPB in the context of the inc...
متن کاملUltrasound-Guided Interscalene Catheter Complicated by Persistent Phrenic Nerve Palsy
A 76-year-old male presented for reverse total shoulder arthroplasty (TSA) in the beach chair position. A preoperative interscalene nerve catheter was placed under direct ultrasound-guidance utilizing a posterior in-plane approach. On POD 2, the catheter was removed. Three weeks postoperatively, the patient reported worsening dyspnea with a subsequent chest X-ray demonstrating an elevated right...
متن کاملInterscalene brachial plexus blocks and phrenic nerve palsy.
To the Editor: We were interested to read Kaufman et al.’s1 article on the surgical treatment of 14 cases of permanent diaphragm paralysis after shoulder surgery, but dismayed to read the editorial that accompanied it,2 in which it was stated that the diaphragmatic paralysis was “clearly due to phrenic nerve damage after interscalene brachial plexus block.” This assertion is open to question an...
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ژورنال
عنوان ژورنال: Anesthesiology
سال: 2013
ISSN: 0003-3022
DOI: 10.1097/aln.0b013e31829c2f3a