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KMID : 1155520070020040270
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Anesthesia and Pain Medicine
2007 Volume.2 No. 4 p.270 ~ p.273
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Bilateral Interscalene Brachial Plexus Block for Surgery on Both Upper Extremities in a Patient with Unilateral Vocal Cord Paralysis : A case report
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Kim Bo-Song
Kwak Ho-Sung
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Abstract
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The interscalene approach of the brachial plexus block is a common technique for surgery on the upper extremities as it provides good intraoperative anesthesia and postoperative analgesia. However, bilateral blockade of both brachial plexuses has rarely been performed because it could lead to respiratory insufficiency and local anesthetic toxicity owing to the large amount of drug administered. We report a case of a successful bilateral interscalene brachial plexus block in a patient with unilateral vocal cord paralysis observed after a conventional endotracheal intubation.
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KEYWORD
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anesthetic technique, interscalene brachial plexus block, regional anesthesia, vocal cord paralysis
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