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Permanent hemidiaphragmatic paresis after interscalene brachial plexus block: a case report
Nina Cugnin1, Benjamin Le Gaillard1, Edmundo Pereira de Souza Neto1
1Centre Hospitalier de Montauban, Département d'Anesthésia, France.
Abstract:
Interscalene brachial plexus block has been widely used in shoulder surgery. We report one case of long-term phrenic palsy following ultrasound-guided interscalene brachial plexus block and we will discuss the possible etiology and mechanism of this disability. For painful shoulder surgery, ultrasound-guided interscalene brachial plexus block remains topical. Alternative blocks, such as suprascapular and axillary blocks, may be reserved for patients with pre-existing respiratory pathology.
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