Back to Search Start Over

Prolonged brachial plexopathy following interscalene block for shoulder arthroplasty.

Authors :
Villar, Tania
Pacreu, Susana
Chavero, Eva
Torrens, Carles
Montes, Antonio
Source :
Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología. Jan-Mar2019, Vol. 47 Issue 1, p71-75. 5p.
Publication Year :
2019

Abstract

Interscalene block (ISB) is the brachial plexus approach most frequently used in shoulder surgery, providing better postoperative analgesia and reducing the need for rescue morphine compared to general anesthesia. While it is considered a safe block, it has been associated with a relatively high rate of complications, the most serious of which are postoperative neurologic symptoms, such as paresthesia, dysesthesia, and reduced sensitivity. We present the case of a patient with prolongedneurological deficit lasting 4months following nerve stimulation-guided ISB. Due to the multifactorial nature of postoperative neurological lesions, it can be difficult to determine their etiology. In our case, the brachial plexopathy was probably due to the administration of local anesthetic through the perineurium. We discuss possible causes and argue for the use of ultrasound associated with nerve stimulation when an ISB is performed in order to reduce the incidence of nerve puncture. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01203347
Volume :
47
Issue :
1
Database :
Academic Search Index
Journal :
Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología
Publication Type :
Academic Journal
Accession number :
134110566
Full Text :
https://doi.org/10.1097/CJ9.0000000000000086