[Unilateral phrenic nerve paralysis after vertical infraclavicular  plexus block]  .
We present a case of a rapid onset reversible phrenic nerve block following vertical infraclavicular blockade of the brachial plexus. Five minutes after injection of local anaesthetics the SpO2 fell to 80%. Oxygen supplementation was required during the perioperative period to maintain normoxemia. The postoperative X-ray showed an elevated diaphragm of the ipsilateral side. After five hours oxygen supply could be terminated, an X-ray control the next day showed normal bilateral diaphragm position.
Stadlmeyer
W
W
Abteilung für Anästhesie und Intensivmedizin, Krankenhaus Agatharied. walter@stadlmeyer.de
Neubauer
J
J
Finkl
R O
RO
Groh
J
J
D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000009:adverse effects*; D001917:Brachial Plexus; D003964:Diaphragm / Q000002:abnormalities / Q000000981:diagnostic imaging; D006801:Humans; D000860:Hypoxia / Q000139:chemically induced*; D008297:Male; D009407:Nerve Block / Q000009:adverse effects*; D010102:Oxygen Inhalation Therapy; D010243:Paralysis / Q000139:chemically induced* / Q000000981:diagnostic imaging; D010523:Peripheral Nervous System Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging; D010791:Phrenic Nerve / Q000000981:diagnostic imaging; D011859:Radiography
D000779:Anesthetics, Local
Unilaterale Phrenicusparese bei vertikaler infraklavikulärer Plexusblockade (VIP).