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KMID : 0356919950290050755
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Korean Journal of Anesthesiology
1995 Volume.29 No. 5 p.755 ~ p.758
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Phrenic Nerve Paralysis following Interscalene Bracheal Plexus Block
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Abstract
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Interscalene bracheal plexus block has became a popular method of anesthesia for surgical operation on the upper extremities. Possible complications are subarachnoid block, epidural block, phrenic nerve block, vagus or recurrent laryngeal nerve
block,
sympathetic nerve block, intravascular injection. But reported complications has been few and generally without prolonged effects.
The following describes a patient who developed signs and symptoms suggestive of inadvertent phrenic nerve block and epidural anesthesia as complications of interscalene bracheal plexus block. The complications were attributed to using of
inferomedially
directed 5 cm needle and then additional blind block of the brachial plexus with 5 or 6 times. We emphasize that if the appropriate length of needle and technique are not used, phrenic nerve paralysis and serious complications including total
spinal or
epidural block can occur as a result of a medially misdirected needle.(Korean J Anethesiol 1995; 29: 755∼758)
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