Interpleural analgesia and phrenic nerve paralysis.
A case of phrenic nerve paralysis following interpleural analgesia for cholecystectomy is reported. The pre-operative chest X ray was normal but chest X ray after cholecystectomy and interpleural analgesia revealed a raised right hemidiaphragm. This resolved after discontinuation of the interpleural analgesia and was probably a result of phrenic nerve paralysis produced by the interpleural local anaesthetic.
Shackleton Department of Anaesthetics, Southampton General Hospital.
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Lauder
D000698:Analgesia / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects*; D002763:Cholecystectomy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy; D010243:Paralysis / Q000139:chemically induced*; D010791:Phrenic Nerve; D010994:Pleura
D002045:Bupivacaine