Ferré, Fabrice and Cugnin, Nina and Martin, Charlotte and Marty, Philippe and Bonnevialle, Nicolas and Kurrek, Matt and Minville, Vincent
Regional anesthesia with noninvasive ventilation for shoulder surgery in a patient with severe chronic obstructive pulmonary disease: a case report.
(2017)
A & A Case Reports, 8 (10). 261-264. ISSN 2325-7237
|
(Document in English)
PDF (Author's version) - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader 399kB |
Official URL: https://doi.org/10.1213/XAA.0000000000000488
Abstract
Interscalene block (ISB) impairs ipsilateral lung function and generally is not used for patients with respiratory insufficiency. We present a 49-year-old man with chronic obstructive pulmonary disease scheduled for shoulder surgery. He was given a regional technique with an ISB (short-acting local anesthetic to minimize duration of diaphragmatic dysfunction) and suprascapular and axillary nerves blocks (long-acting local anesthetic). He was supported with noninvasive ventilation during the time of hemidiaphragmatic paralysis as documented by serial ultrasound examination. A discussion about ISB and its alternatives (general anesthesia versus brachial plexus block versus selective peripheral nerve blocks) always should occur for patients at risk for pulmonary complications.
Item Type: | Article |
---|---|
HAL Id: | hal-02135092 |
Audience (journal): | International peer-reviewed journal |
Uncontrolled Keywords: | |
Institution: | Other partners > University of Toronto (CANADA) Other partners > Clinique Médipôle Garonne (FRANCE) Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE) |
Statistics: | download |
Deposited On: | 08 Apr 2019 09:18 |
Repository Staff Only: item control page