Weakness of contralateral upper limb after interscalene block - A case report

被引：1

作者：

Jadon, Ashok ^{[1
]}

Nage, Swapnil ^{[1
]}

Swarupa, Chintala Pavana ^{[1
]}

Motaka, Mayur ^{[1
]}

机构：

[1] Tata Motors Hosp, Dept Anaesthesia & Pain Relief Serv, Jamshedpur, Jharkhand, India

来源：

INDIAN JOURNAL OF ANAESTHESIA | 2019年 / 63卷 / 01期

关键词：

Brachial plexus; interscalene block; regional anaesthesia; ultrasound-guided blocks; BRACHIAL-PLEXUS BLOCK; PAIN-CONTROL; CATHETER; ULTRASOUND;

D O I：

10.4103/ija.IJA_554_18

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We have reported a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia. He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent spread of local anaesthetic in the cervical epidural space. No serious complication occurred due to timely intervention. The possible pathways of such unwanted epidural spread and methods to reduce such complications have been discussed.

引用

页码：55 / 57

页数：3

共 14 条

[1] Infusion Methods for Continuous Interscalene Brachial Plexus Block for Postoperative Pain Control after Arthroscopic Rotator Cuff Repair [J].

Byeon, Gyeong Jo ;

Shin, Sang Wook ;

Yoon, Ji Uk ;

Kim, Eun Jung ;

Baek, Seung Hoon ;

Ri, Hyun Su .

KOREAN JOURNAL OF PAIN, 2015, 28 (03) :210-216

[2]

Capogna G., 2015, EPIDURAL LABOR ANALG, P89

[3] UNSUSPECTED EXTRADURAL CATHETERIZATION IN AN INTERSCALENE BLOCK [J].

COOK, LB .

BRITISH JOURNAL OF ANAESTHESIA, 1991, 67 (04) :473-475

[4] A Prospective Randomized Comparison of Ultrasound Guidance Versus Neurostimulation for Interscalene Catheter Placement [J].

Fredrickson, Michael J. ;

Ball, Craig M. ;

Dalgleish, Adam J. .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (06) :590-594

[5] A Prospective Randomized Comparison of Ultrasound and Neurostimulation as Needle End Points for Interscalene Catheter Placement [J].

Fredrickson, Michael J. ;

Ball, Craig M. ;

Dalgleish, Adam J. ;

Stewart, Alistair W. ;

Short, Tim G. .

ANESTHESIA AND ANALGESIA, 2009, 108 (05) :1695-1700

[6] Bilateral Loss of Neural Function After Interscalene Plexus Blockade May Be Caused by Epidural Spread of Local Anesthetics A Cadaveric Study [J].

Fritsch, Gerhard ;

Hudelmaier, Martin ;

Danninger, Thomas ;

Brummett, Chad ;

Bock, Matthias ;

McCoy, Mark .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2013, 38 (01) :64-68

[7]

KRISHNAN S, 2017, MIDDLE EAST J ANESTH, V24, P13

[8]

KUMAR A, 1971, ANESTHESIOLOGY, V35, P650

[9] BILATERAL SPREAD OF ANALGESIA FOLLOWING INTERSCALENE BRACHIAL-PLEXUS BLOCK [J].

LOMBARD, TP ;

COUPER, JL .

ANESTHESIOLOGY, 1983, 58 (05) :472-473

[10] Comparison of Outside Versus Inside Brachial Plexus Sheath Injection for Ultrasound-Guided Interscalene Nerve Blocks [J].

Maga, Joni ;

Missair, Andres ;

Visan, Alex ;

Kaplan, Lee ;

Gutierrez, Juan F. ;

Jain, Annika R. ;

Gebhard, Ralf E. .

JOURNAL OF ULTRASOUND IN MEDICINE, 2016, 35 (02) :279-285

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