Quadriplegia after interscalene block for shoulder surgery in sitting position

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Quadriplegia after interscalene block for shoulder surgery in sitting position.

gas samples were obtained and neither hypercarbia nor hypoxia occurred at both sides of single-lung ventilation. Video-assisted thoracic surgery was successfully performed and the surgeon satisfaction was very good. The patient was extubated without complications and transferred to the postoperative anaesthesia care. No discomforts like sore throat or minor injuries at the trachea were detected...

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Interscalene block for shoulder surgery.

Fracture dislocation of the shoulder is a common musculoskeletal injury following road traffic accident. Peripheral nerve block has become a recognized anesthetic technique due to the rapid onset of prolonged analgesia, sufficient for both pain and surgical management. However, interscalene block for shoulder surgery has not been reported as a primary anesthetic technique in our environment. We...

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Factors contributing to episodes of bradycardia hypotension during shoulder arthroscopic surgery in the sitting position after interscalene block

BACKGROUND Arthroscopic shoulder surgery has been performed in the sitting position under interscalene block (ISB). Bradycardia hypotension (BH) episodes have a reported incidence of 13-29% in this setting. We performed a retrospective study to investigate contributing factors to the occurrence of BH episodes. METHODS According to BH episodes, we divided 63 patients into two groups: BH group ...

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Interscalene brachial plexus block for shoulder surgery.

BACKGROUND AND OBJECTIVES To evaluate the efficacy of interscalene brachial plexus block as the primary anesthetic for shoulder surgery, the influence on blood loss, and the rate of complication. METHODS Retrospective review of 676 reconstructive surgical procedures of the shoulder for anesthetic technique (regional or general), regional anesthetic technique (paresthesia versus nerve stimulat...

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Cardiac arrest after interscalene brachial plexus block in the sitting position for shoulder arthroscopy: a case report.

The authors report a case of cardiac arrest following interscalene brachial plexus block in the sitting position for shoulder arthroscopy. The cardiac arrest occurred 45 minutes after interscalene brachial plexus block. It seems that it resulted from the activation of Bezold-Jarisch's reflex and a related vasovagal syncope.

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2013

ISSN: 0007-0912

DOI: 10.1093/bja/aet368