Novel technique for reversing phrenic nerve paresis secondary to interscalene brachial plexus block

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Abstract

Interscalene brachial plexus block is the reference analgesic technique for shoulder surgery. Phrenic nerve palsy with hemidiaphragmatic paresis is an established complication that results in symptomatic dyspnoea in a small number of subjects, and is poorly tolerated. Established management is supportive and assumes that, once administered, the duration of the block is unalterable. A case is presented of saline washout as a rescue measure for severe dyspnoea due to phrenic nerve palsy following interscalene brachial plexus block. To the authors’ knowledge, this is the first case of this method used to reverse a single-injection brachial plexus block.

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APA

Fleming, I. O., & Boddu, K. (2018). Novel technique for reversing phrenic nerve paresis secondary to interscalene brachial plexus block. Southern African Journal of Anaesthesia and Analgesia, 24(3), 81–84. https://doi.org/10.1080/22201181.2018.1461318

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