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Anaesthesist ; 49(12): 1030-3, 2000 Dec.
Article in German | MEDLINE | ID: mdl-11202076

ABSTRACT

We present a case of a rapid onset reversible phrenic nerve block following vertical infraclavicular blockade of the brachial plexus. Five minutes after injection of local anaesthetics the SpO2 fell to 80%. Oxygen supplementation was required during the perioperative period to maintain normoxemia. The postoperative X-ray showed an elevated diaphragm of the ipsilateral side. After five hours oxygen supply could be terminated, an X-ray control the next day showed normal bilateral diaphragm position.


Subject(s)
Anesthetics, Local/adverse effects , Brachial Plexus , Hypoxia/chemically induced , Nerve Block/adverse effects , Paralysis/chemically induced , Peripheral Nervous System Diseases/chemically induced , Phrenic Nerve , Aged , Aged, 80 and over , Diaphragm/abnormalities , Diaphragm/diagnostic imaging , Humans , Male , Oxygen Inhalation Therapy , Paralysis/diagnostic imaging , Peripheral Nervous System Diseases/diagnostic imaging , Phrenic Nerve/diagnostic imaging , Radiography
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