Phrenic nerve block caused by interscalene brachial plexus block: Effects of digital pressure and a low volume of local anesthetic

Regional Anesthesia and Pain Medicine

Volumn 24, Issue 3, 1999, Pages 231-235

  Sala Blanch, X ^a   Lazaro J R ^b   Correa, J ^a   Gomez Fernandez M ^b  

^a Hospital de Sant Boi   (Spain)

^b Clínica Cyclops   (Spain)

Author keywords

Diaphragmatic paresis; Digital pressure; Injection volume; Interscalene brachial plexus block; Phrenic nerve; Pulmonary function

Indexed keywords

LIDOCAINE; LOCAL ANESTHETIC AGENT; MEPIVACAINE;

ADULT; ANESTHESIA COMPLICATION; ARTICLE; BRACHIAL PLEXUS ANESTHESIA; BREATHING RATE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOSE RESPONSE; DYSPNEA; FEMALE; HUMAN; INJECTION SITE; LUNG FUNCTION TEST; MALE; NERVE INJURY; PARESIS; PHRENIC NERVE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TREATMENT OUTCOME;

EID: 0032936910     PISSN: 0146521X     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1098-7339(99)90133-5     Document Type: Article

References (8)

1. Urmey WF, Talts KH, Sharrock BN. One hundred percent incidence of hemidiaphragmatic paresis associated with interescalene brachial plexus anesthesia as diagnosed by ultrasonography. Anesth Analg 1991: 72: 498-503.
2. Sala X, Lázaro JR, Gómez-Fernández M, Cardona X. Parálisis frénica tras bloqueo del plexo braquial. Estudio comparativo entre el abordaje interescalénico y el axilar. Rev Soc Esp Dolor 1997: 4: 238-244.
3. Winnie AP. Interscalene brachial plexus block. Anesth Analg 1970: 49: 455-466.
4. Urmey WF, Gloeggler PJ. Pulmonary function changes during interescalene brachial plexus block: Effects of decreasing local anesthetic injection volume. Reg Anesth 1993: 18: 224-249.
5. Urmey WF, Grossi Parra, Sharrock EN, Stanton J, Gloeggler PJ. Digital pressure during interescalene block is clinically ineffective in preventing anesthetic spread to the cervical plexus. Anesth Analg 1996: 83: 366-370.
6. Winnie AP, Radonjic R, Akkinemi SR, Durrani Z. Factors influencing the distribution of local anesthetics in the brachial plexus sheath. Anesth Analg 1979: 58: 225-234.
7. Fujimura N, Namba H, Tsunoda K, Kawamata T, Taki K, Igarasi M, Namiki A. Effect of hemidiaphragmatic paresis caused by interscalene brachial plexus block on breathing pattern, chest wall mechanics and arterial blood gases. Anesth Analg 1995: 81: 962-966.
8. Pere P. The effect of continuous interscalene brachial plexus block with 0.125% bupivacaine plus fentanyl on diaphragmatic motility and ventilatory function. Reg Anesth 1993: 18: 93-97.