Can bilateral bronchospasm be a sign of unilateral phrenic nerve palsy after supraclavicular brachial plexus block?

Souvik Chaudhuri, M. D. Gopalkrishna, Cherish Paul, Ratul Kundu

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Ultrasound-guided peripheral nerve blocks facilitate ambulatory anesthesia for upper limb surgeries. Unilateral phrenic nerve blockade is a common complication after interscalene brachial plexus block, rather than the supraclavicular block. We report a case of severe respiratory distress and bilateral bronchospasm following ultrasound-guided supraclavicular brachial plexus block. Patient did not have clinical features of pneumothorax or drug allergy and was managed with oxygen therapy and salbutamol nebulization. Chest X-ray revealed elevated right hemidiaphragm confirming unilateral phrenic nerve paresis.

Original languageEnglish
Pages (from-to)249-251
Number of pages3
JournalJournal of Anaesthesiology Clinical Pharmacology
Volume28
Issue number2
DOIs
Publication statusPublished - 01-04-2012
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)
  • Anesthesiology and Pain Medicine

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