1. Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned.
- Author
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Mathur, Rhythm, Paliwal, Bharat, Kamal, Manoj, and Bhatia, Pradeep Kumar
- Subjects
INTERCOSTAL nerves ,LIVER tumors ,CHEST pain ,PNEUMOTHORAX ,CHEST X rays ,MEDIASTINAL tumors ,METASTASIS ,CANCER chemotherapy ,OBSTRUCTIVE lung diseases ,MEDICAL drainage ,POSTHERPETIC neuralgia ,SMALL cell carcinoma ,NERVE block ,ALLODYNIA - Abstract
Pneumothorax is a rare but potentially serious iatrogenic complication of intercostal nerve block. This case report emphasizes the importance of imaging guidance and careful patient assessment to mitigate complications in high-risk individuals undergoing intercostal nerve block. An elderly male with chronic obstructive pulmonary disease and undergoing chemotherapy for mediastinal metastasis of small-cell liver carcinoma developed severe postherpetic neuralgia resistant to pharmacological therapy. An ultrasound-guided intercostal nerve block was performed which resulted in a pneumothorax, subsequently managed with an intercostal drain. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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