Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery

Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery

Background. Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention...

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Main Authors: Jason K. Panchamia, David A. Olsen, Adam W. Amundson
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2017/1294913
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spelling doaj-0996e0a428d54503b98d07a778f99db22020-11-24T23:45:15ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/12949131294913Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder SurgeryJason K. Panchamia0David A. Olsen1Adam W. Amundson2Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USADepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USADepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USABackground. Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis after shoulder surgery. Case Report. We report the successful application of a combined ultrasound-guided infraclavicular brachial plexus block and suprascapular nerve block in a patient with a complicated pulmonary history undergoing a total shoulder replacement. Conclusion. This case report briefly reviews the important innervations to the shoulder joint and examines the utility of the infraclavicular brachial plexus block for postoperative pain management.http://dx.doi.org/10.1155/2017/1294913
collection DOAJ
language English
format Article
sources DOAJ
author Jason K. Panchamia
David A. Olsen
Adam W. Amundson
spellingShingle Jason K. Panchamia
David A. Olsen
Adam W. Amundson
Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
Case Reports in Anesthesiology
author_facet Jason K. Panchamia
David A. Olsen
Adam W. Amundson
author_sort Jason K. Panchamia
title Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
title_short Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
title_full Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
title_fullStr Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
title_full_unstemmed Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
title_sort unique phrenic nerve-sparing regional anesthetic technique for pain management after shoulder surgery
publisher Hindawi Limited
series Case Reports in Anesthesiology
issn 2090-6382
2090-6390
publishDate 2017-01-01
description Background. Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis after shoulder surgery. Case Report. We report the successful application of a combined ultrasound-guided infraclavicular brachial plexus block and suprascapular nerve block in a patient with a complicated pulmonary history undergoing a total shoulder replacement. Conclusion. This case report briefly reviews the important innervations to the shoulder joint and examines the utility of the infraclavicular brachial plexus block for postoperative pain management.
url http://dx.doi.org/10.1155/2017/1294913
work_keys_str_mv AT jasonkpanchamia uniquephrenicnervesparingregionalanesthetictechniqueforpainmanagementaftershouldersurgery
AT davidaolsen uniquephrenicnervesparingregionalanesthetictechniqueforpainmanagementaftershouldersurgery
AT adamwamundson uniquephrenicnervesparingregionalanesthetictechniqueforpainmanagementaftershouldersurgery
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