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Updated: Sep 28, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Severe respiratory failure after infraclavicular block with 0.75% ropivacaine: a case report
Marc E Gentili1, Arnaud Deleuze, Jean-Pierre Estèbe
1Department of Anesthesia and Intensive Care II, University of Rennes, Hôpital Hôtel Dieu, 2 Rue de l'Hôtel Dieu, 35000 Rennes, France. Marc.Gentili@wanadoo.fr
Abstract:
Upper extremity surgery is usually performed with an axillary block. There is a risk of pneumothorax and phrenic nerve block when interscalene or supraclavicular block are used in day case surgery, or in patients with chronic obstructive pulmonary disease. The infraclavicular block is a simple, reliable, and easy to learn method to block the brachial plexus. No clinically relevant respiratory effects have been reported with infraclavicular block. Nonetheless, we report a case of a chronic obstructive pulmonary disease patient who developed severe respiratory failure requiring tracheal intubation after an infraclavicular block.
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