Tags

Type your tag names separated by a space and hit enter

[A case report of hemidiaphragmatic paresis caused by interscalene brachial plexus block].
Masui. 2002 Aug; 51(8):899-901.M

Abstract

A 76-yr-old woman was scheduled for left upper extremity orthopedic procedure. Preoperative examinations were within normal limits except forced vital capacity. Interscalene brachial plexus block with 0.25% bupivacaine 15 ml, was performed under general anesthesia. Her intraoperative course was uneventful. She, however, complained of the dyspnea after removal of a tracheal tube, and Spo2 dropped to 89%. A chest X-ray demonstrated the elevation of hemidiaphragm. She was diagnosed as ipsilateral hemidiaphragmatic paresis, treated with oxygen inhalation under deep breathing for approximately one hour, and then transferred to the common ward. We conclude that respiratory movement should be carefully observed following interscalene brachial plexus block especially in geriatric patients.

Authors+Show Affiliations

Second Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi 321-0293.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

12229142

Citation

Ono, Tetsu, et al. "[A Case Report of Hemidiaphragmatic Paresis Caused By Interscalene Brachial Plexus Block]." Masui. the Japanese Journal of Anesthesiology, vol. 51, no. 8, 2002, pp. 899-901.
Ono T, Hayashi K, Takahashi H, et al. [A case report of hemidiaphragmatic paresis caused by interscalene brachial plexus block]. Masui. 2002;51(8):899-901.
Ono, T., Hayashi, K., Takahashi, H., & Sakio, H. (2002). [A case report of hemidiaphragmatic paresis caused by interscalene brachial plexus block]. Masui. the Japanese Journal of Anesthesiology, 51(8), 899-901.
Ono T, et al. [A Case Report of Hemidiaphragmatic Paresis Caused By Interscalene Brachial Plexus Block]. Masui. 2002;51(8):899-901. PubMed PMID: 12229142.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case report of hemidiaphragmatic paresis caused by interscalene brachial plexus block]. AU - Ono,Tetsu, AU - Hayashi,Kenji, AU - Takahashi,Hiroyuki, AU - Sakio,Hideaki, PY - 2002/9/17/pubmed PY - 2002/11/26/medline PY - 2002/9/17/entrez SP - 899 EP - 901 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 51 IS - 8 N2 - A 76-yr-old woman was scheduled for left upper extremity orthopedic procedure. Preoperative examinations were within normal limits except forced vital capacity. Interscalene brachial plexus block with 0.25% bupivacaine 15 ml, was performed under general anesthesia. Her intraoperative course was uneventful. She, however, complained of the dyspnea after removal of a tracheal tube, and Spo2 dropped to 89%. A chest X-ray demonstrated the elevation of hemidiaphragm. She was diagnosed as ipsilateral hemidiaphragmatic paresis, treated with oxygen inhalation under deep breathing for approximately one hour, and then transferred to the common ward. We conclude that respiratory movement should be carefully observed following interscalene brachial plexus block especially in geriatric patients. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/12229142/[A_case_report_of_hemidiaphragmatic_paresis_caused_by_interscalene_brachial_plexus_block]_ L2 - https://medlineplus.gov/aftersurgery.html DB - PRIME DP - Unbound Medicine ER -