Ultrasound guidance reduces phrenic nerve paresis after interscalene plexus block

2008 ◽  
Vol 25 (Sup 44) ◽  
pp. 111
Author(s):  
T. Pirotte ◽  
B. Brui ◽  
F. Tanguy
Keyword(s):  
Phrenic Nerve ◽  
Ultrasound Guidance ◽  
Nerve Paresis ◽  
Plexus Block

scholarly journals In Pursuit of Phrenic Nerve-Sparing Regional Anesthesia For Awake Shoulder Manipulation In Patients With Adhesive Capsulitis

2021 ◽  
Vol 3 (2) ◽  
pp. 71
Author(s):  
Syahrul Mubarak Danar Sumantri
Keyword(s):  
Regional Anesthesia ◽  
Phrenic Nerve ◽  
Adhesive Capsulitis ◽  
Suprascapular Nerve ◽  
Nerve Sparing ◽  
Nerve Function ◽  
Suprascapular Nerve Block ◽  
Nerve Paresis ◽  
Anesthesia Technique ◽  
Plexus Block

Introduction. While interscalene brachial plexus block remains the gold standard of any shoulder procedure, including shoulder manipulation in patients with adhesive capsulitis, anesthesiologists are reluctant to face the risk of phrenic nerve paresis, especially in patients with preexisting pulmonary conditions. Hence, many studies have targeted specific regional anesthesia of the shoulder low enough by the blockade level, leaving phrenic nerve function intact but still providing satisfying anesthesia for shoulder procedures. Until recently, no comparison between these regional anesthesia techniques focusing on shoulder manipulation for adhesive capsulitis has been published. Case Report. We compared the profiles between suprascapular nerve block, shoulder interfascial plane block, and superior trunk block as the sole anesthesia technique in patients with adhesive capsulitis undergoing awake shoulder manipulation. Conclusion. This report descriptively signifies superior trunk block excellence among other regional anesthesia techniques in achieving complete anesthesia for awake shoulder manipulation in patients with adhesive capsulitis while sparing the phrenic-nerve function

Persistent Phrenic Nerve Paresis Following Interscalene Brachial Plexus Block

1985 ◽  
Vol 63 (1) ◽  
pp. 102-103 ◽  
Author(s):  
G. Bashein ◽  
H. Thomas Robertson ◽  
William F. Kennedy
Keyword(s):  
Brachial Plexus ◽  
Phrenic Nerve ◽  
Brachial Plexus Block ◽  
Interscalene Brachial Plexus Block ◽  
Nerve Paresis ◽  
Plexus Block

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.

Brachial plexus block with or without ultrasound guidance

2009 ◽  
Vol 22 (5) ◽  
pp. 655-660 ◽  
Author(s):  
Øivind Klaastad ◽  
Axel R Sauter ◽  
Michael S Dodgson
Keyword(s):  
Brachial Plexus ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Plexus Block
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