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Regional anesthesia with noninvasive ventilation for shoulder surgery in a patient with severe chronic obstructive pulmonary disease: a case report

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

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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 By: Pascal SWIDER
Deposited On:08 Apr 2019 09:18

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