Bilateral Vocal Cord Palsy following Interscalene Brachial Plexus Nerve Block

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Delayed bilateral vocal cord paresis after a continuous interscalene brachial plexus block and endotracheal intubation

RATIONALE Recurrent laryngeal nerve block is an uncommon complication that can occur after an interscalene brachial plexus block (ISB), which may lead to vocal cord palsy or paresis. However, if the recurrent laryngeal nerve is blocked in patients with a preexisting contralateral vocal cord palsy following neck surgery, this may lead to devastating acute respiratory failure. Thus, ISB is contra...

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Persistent phrenic nerve paralysis following interscalene brachial plexus block.

A 60-yr-old man, 160 cm tall, weighing 75 kg, with American Society of Anesthesiologists physical status class II, was admitted for elective right shoulder surgery. His medical history was unremarkable except for recent mild diabetes with no related neuropathy, controlled by diet and glimepiride. Physical examination results were unremarkable, and the results of laboratory studies were all with...

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Phrenic nerve palsy following interscalene brachial plexus block; a long lasting serious complication.

Interscalene brachial plexus block (ISBPB) offers good analgesia for painful surgical procedures on the shoulder. We here describe two cases of long-term phrenic palsy following ISBPB that occurred in our practice in a relative short time period and both clearly illustrate the devastating impact of this complication for the patient. We will discuss the benefit of ISBPB in the context of the inc...

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Phrenic nerve palsy following coracoid infraclavicular brachial plexus block

515 Received: May 19, 2009. Revised: May 28, 2009. Accepted: June 8, 2009. Corresponding author: Jeong Uk Han, M.D., Department of Anesthesiology and Pain Medicine, Inha University Hospital, 7-206, Sinheung-dong 3ga, Jung-gu, Incheon 400-711, Korea. Tel: 82-32-890-3968, Fax: 82-32-8812477, E-mail: [email protected] Copyright c Korean Society of Anesthesiologists, 2009 cc This is an open-access a...

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Interscalene brachial plexus blocks and phrenic nerve palsy.

To the Editor: We were interested to read Kaufman et al.’s1 article on the surgical treatment of 14 cases of permanent diaphragm paralysis after shoulder surgery, but dismayed to read the editorial that accompanied it,2 in which it was stated that the diaphragmatic paralysis was “clearly due to phrenic nerve damage after interscalene brachial plexus block.” This assertion is open to question an...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 2002

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x0203000409