Paresthesia and Motor Weakness of Left Shoulder after Interscalene Nerve Block: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 802-806, 1996.
Article
em Ko
| WPRIM
| ID: wpr-137081
Biblioteca responsável:
WPRO
ABSTRACT
Nerve injury can arise as a complication of peripheral nerve block. Three factors are of special etiologic interest: nerve lesion due to the needle injury or intraneural injection; toxic effects of drugs injected overall when epinephrine is used; ischemic trauma. The symptoms of such nerve lesions are dysesthesia, motor weakness or paralysis. We report a case of severe neurologic symptoms of left shoulder after interscalene nerve block in a 23-year-old ASA I male patient. Interscalene block utilizing nerve stimulator and elicitation of paresthesia was performed smoothly for incision and drainage of 2nd finger mass. Total 30 cc of 2% lidocaine with epinephrine was used. After the procedure, the patient developed a severe dysesthesia and motor weakness of left shoulder which gradually improved over the next 6 months through the extensive rehabilitation program. The block should be handled with care: rough paresthesia seeking techniques and intraneural injections should be avoided; short bevel needles and plain solutions should be used to avoid complications.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Paralisia
/
Parestesia
/
Nervos Periféricos
/
Reabilitação
/
Ombro
/
Epinefrina
/
Drenagem
/
Dedos
/
Lidocaína
/
Agulhas
Limite:
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1996
Tipo de documento:
Article