scholarly journals Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Jason K. Panchamia ◽  
David A. Olsen ◽  
Adam W. Amundson
Keyword(s):  
Case Report ◽  
Pain Management ◽  
Brachial Plexus ◽  
Nerve Block ◽  
Phrenic Nerve ◽  
Brachial Plexus Block ◽  
Shoulder Surgery ◽  
Anesthetic Technique ◽  
Infraclavicular Brachial Plexus Block ◽  
Plexus Block

Background. Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis after shoulder surgery. Case Report. We report the successful application of a combined ultrasound-guided infraclavicular brachial plexus block and suprascapular nerve block in a patient with a complicated pulmonary history undergoing a total shoulder replacement. Conclusion. This case report briefly reviews the important innervations to the shoulder joint and examines the utility of the infraclavicular brachial plexus block for postoperative pain management.

scholarly journals The Incidence and Aetiology of Phrenic Nerve Blockade Associated with Supraclavicular Brachial Plexus Block

1979 ◽  
Vol 7 (4) ◽  
pp. 346-349 ◽  
Author(s):  
G. E. Knoblanche
Keyword(s):  
Brachial Plexus ◽  
Nerve Block ◽  
Phrenic Nerve ◽  
Brachial Plexus Block ◽  
X Ray ◽  
Supraclavicular Approach ◽  
True Incidence ◽  
Supraclavicular Brachial Plexus Block ◽  
Plexus Block ◽  
Phrenic Nerve Block

A trial to ascertain the true incidence of inadvertent phrenic nerve block with brachial plexus block via the supraclavicular approach was carried out. Phrenic nerve block was monitored by x-ray screening of the diaphragm. There was an incidence of phrenic nerve block of 67% (10 cases of diaphragmatic paralysis in 15 brachial blocks). The possible causes of phrenic nerve block with brachial block are discussed. It is concluded that the phrenic nerve is blocked peripherally in front of the scalenus anterior.

scholarly journals Phrenic nerve palsy following coracoid infraclavicular brachial plexus block

2009 ◽  
Vol 57 (4) ◽  
pp. 515 ◽  
Author(s):  
Hong Sik Lee ◽  
Jae Hak Lee ◽  
Young Deog Cha ◽  
Sang Kyu Park ◽  
Chu Hwan Seo ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Phrenic Nerve ◽  
Nerve Palsy ◽  
Brachial Plexus Block ◽  
Phrenic Nerve Palsy ◽  
Infraclavicular Brachial Plexus Block ◽  
Plexus Block
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