• Am J. Orthop. · Oct 2015

    Case Reports

    Tension Pneumothorax After Ultrasound-Guided Interscalene Block and Shoulder Arthroscopy.

    • Robert Li, Ajay Lall, Everett Lai, and Konrad I Gruson.
    • Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, NY. kgruson@montefiore.org.
    • Am J. Orthop. 2015 Oct 1; 44 (10): E407-10.

    AbstractInterscalene brachial plexus anesthesia is commonly used for outpatient arthroscopic shoulder procedures. Ultrasound guidance has helped to minimize the cardiac, neurologic, and pulmonary complications associated with this block. Although rarely reported, pneumothorax may occur as a result of direct lung injury and even in a delayed fashion. We present a case of tension pneumothorax in a patient undergoing arthroscopic rotator cuff repair under both interscalene regional and general anesthesia. Surgeons and anesthesiologists must remain aware that ultrasound-guided interscalene blocks may be associated with pneumothorax and must initiate treatment expeditiously.

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