Hemidiaphragmatic paralysis: A case report. Issue 4 (April 2018)

• Record Type: Journal Article
• Authors: Rohman, Lebur; Sutanto, Jazlina; Michla, Yusuf
• Is Part Of: Journal of perioperative practice. Volume 28:Issue 4(2018)
• Page Start: 90
• Page End: 94
• Publication Date: 2018-04
• Subjects: Hemidiaphragmatic paralysis -- Postoperative respiratory distress -- Interscalene block; Operating room nursing -- Periodicals; 617.9192
• DOI: 10.1177/1750458918762312
• Languages: English
• ISSNs: 2515-7949

Abstract

Hemidiaphragmatic paralysis is initially recognised as postoperative respiratory distress. The subsequent sequential management of the patient following arthroscopic shoulder surgery under interscalene block is described. Ultrasound-guided technique is considered to be the safest for interscalene block. Reducing the volume of anaesthetic used reduces its spread to the phrenic nerve and thus reduces the incidence of hemidiaphragmatic paralysis. Furthermore, a reduction in anaesthetic volume has equivalent analgesic efficacy.