• J Clin Anesth · Sep 2002

    Case Reports

    Severe respiratory failure after infraclavicular block with 0.75% ropivacaine: a case report.

    • Marc E Gentili, Arnaud Deleuze, Jean-Pierre Estèbe, Michel Lebourg, and Claude Ecoffey.
    • Department of Anesthesia and Intensive Care II, University of Rennes, Hôpital Hôtel Dieu, 2 Rue de l'Hôtel Dieu, 35000 Rennes, France. Marc.Gentili@wanadoo.fr
    • J Clin Anesth. 2002 Sep 1;14(6):459-61.

    AbstractUpper extremity surgery is usually performed with an axillary block. There is a risk of pneumothorax and phrenic nerve block when interscalene or supraclavicular block are used in day case surgery, or in patients with chronic obstructive pulmonary disease. The infraclavicular block is a simple, reliable, and easy to learn method to block the brachial plexus. No clinically relevant respiratory effects have been reported with infraclavicular block. Nonetheless, we report a case of a chronic obstructive pulmonary disease patient who developed severe respiratory failure requiring tracheal intubation after an infraclavicular block.

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