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J Anaesthesiol Clin Pharmacol · Apr 2012
Can bilateral bronchospasm be a sign of unilateral phrenic nerve palsy after supraclavicular brachial plexus block?
- Souvik Chaudhuri, Md Gopalkrishna, Cherish Paul, and Ratul Kundu.
- Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka, India.
- J Anaesthesiol Clin Pharmacol. 2012 Apr 1;28(2):249-51.
AbstractUltrasound-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.
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