Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery. (19th December 2017)

• Record Type: Journal Article
• Authors: Panchamia, Jason K.; Olsen, David A.; Amundson, Adam W.
• Other Names: Michalek Pavel Academic Editor.
• Is Part Of: Case reports in anesthesiology. Volume 2017(2017)
• Publication Date: 2017-12-19
• Subjects: Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1155/2017/1294913
• Languages: English
• ISSNs: 2090-6382

Abstract

Abstract : Background . Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis after shoulder surgery. Case Report . We report the successful application of a combined ultrasound-guided infraclavicular brachial plexus block and suprascapular nerve block in a patient with a complicated pulmonary history undergoing a total shoulder replacement. Conclusion . This case report briefly reviews the important innervations to the shoulder joint and examines the utility of the infraclavicular brachial plexus block for postoperative pain management.