Ropivacaine for ultrasound-guided interscalene block: 5 mL provides similar analgesia but less phrenic nerve paralysis than 10 mL
نویسندگان
چکیده
منابع مشابه
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...
متن کاملUltrasound-Guided Interscalene Catheter Complicated by Persistent Phrenic Nerve Palsy
A 76-year-old male presented for reverse total shoulder arthroplasty (TSA) in the beach chair position. A preoperative interscalene nerve catheter was placed under direct ultrasound-guidance utilizing a posterior in-plane approach. On POD 2, the catheter was removed. Three weeks postoperatively, the patient reported worsening dyspnea with a subsequent chest X-ray demonstrating an elevated right...
متن کاملClinical Comparison of Two Different Volumes of 0.5% Bupivacaine for Clavicular Surgeries Using Combined Interscalene and Superficial Cervical Plexus Block
Context: The use of ultrasound in regional anaesthesia has resulted in reduction in local anaesthetic volume and adverse effects. Aim : This study aims to compare the quality of analgesia and incidence of adverse effects using two different volumes of 0.5 % bupivacaine for clavicular surgeries by ultrasound guided combined interscalene and superficial cervical plexus block. Settings and Design:...
متن کاملDecreasing the local anesthetic volume from 20 to 10 mL for ultrasound-guided interscalene block at the cricoid level does not reduce the incidence of hemidiaphragmatic paresis.
BACKGROUND AND OBJECTIVES This prospective, randomized, double blind study was designed to determine whether reduction in volume from 20 to 10 mL of ropivacaine 0.5% for ultrasound-guided interscalene block might decrease the incidence of diaphragmatic paresis and preserve pulmonary function. METHOD Thirty patients scheduled for arthroscopic shoulder surgery were randomized to receive either ...
متن کاملEfficacy of Adding Magnesium Sulfate to Ropivacaine in Ultrasound-guided Transversus Abdominis Plane Block on Analgesia After Open Appendectomy
Introduction: Proper management of postoperative pain relieves the patient’s discomfort, reduces the length of hospitalization, reduces hospital costs, and increases patient satisfaction. This study was aimed to determine the efficacy of adding magnesium sulfate to ropivacaine 0.25% in transverse abdominis plane (TAP) block under ultrasound guidance on analgesia after open appendectomy. Method...
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ژورنال
عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
سال: 2011
ISSN: 0832-610X,1496-8975
DOI: 10.1007/s12630-011-9568-5