Diaphragm-Sparing Nerve Blocks for Shoulder Surgery

    loading  Checking for direct PDF access through Ovid

Abstract

(Abstracted from Reg Anesth Pain Med, 42(1):32–38, 2017)

The main aim of this article is to arrive at feasible diaphragm-sparing alternatives to interscalene brachial plexus blocks (ISBs) that can provide satisfactory surgical local anesthesia and postoperative pain relief with a low incidence of hemidiaphragmatic paralysis. The most common adverse effect of ISB for standard post–shoulder surgery analgesia is the occurrence of ipsilateral phrenic nerve block which causes a hemidiaphragmatic paralysis in 100% of patients and a 27% decrease in the patients forced vital capacity and forced expiratory volume at 1 second.

Related Topics

    loading  Loading Related Articles