Dyspnea after supraclavicular brachial plexus block in a morbidly obese patient due to phrenic nerve block: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 511-514, 2009.
Artículo
en Coreano
| WPRIM
| ID: wpr-171234
ABSTRACT
A 57-year-old woman with morbid obesity (BMI 37.39) was scheduled for ligament reconstruction with tendon interposition of the carpometacarpal joint. A difficult supraclavicular brachial plexus block was performed using a 22-gauge regional block needle with a nerve stimulator and 40 ml of 1% mepivacaine. Approximately 10 minutes after the injection, she complained dyspnea, shortness of breath and right mid-thoracic pain. Her oxygen saturation decreased from 100% to 95%. Diagnostic workup revealed right diaphragmatic elevation caused by phrenic nerve block. General anesthesia was induced because of the unsuccessful brachial plexus block and dyspnea with chest pain. She recovered without any residual complications and was discharged on the third postoperative day. Phrenic nerve block is a common complication in supraclavicular brachial plexus block but it is usually not severe and reassurance is enough to control it. However, pre-operative physical conditions that may lead to decreased respiratory reserves, such as morbid obesity should be considered as a risk factors when conducting supraclavicular brachial plexus block.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oxígeno
/
Nervio Frénico
/
Tendones
/
Dolor en el Pecho
/
Obesidad Mórbida
/
Plexo Braquial
/
Factores de Riesgo
/
Disnea
/
Articulaciones Carpometacarpianas
/
Anestesia General
Tipo de estudio:
Estudio de etiología
/
Factores de riesgo
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2009
Tipo del documento:
Artículo
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