Airway difficulty after a brachial plexus subclavian perivascular block.
We report a case of upper airway obstruction after subclavian perivascular block in a patient with a preexisting unrecognized paralyzed vocal cord on the opposite side. We discuss the incidence of vocal cord paralysis after subclavian perivascular block and the risk of airway compromise if contralateral vocal cord paralysis is known or suspected.
Rollins
Mark
M
Department of Anesthesia and Perioperative Care, University of California, San Francisco, California.
McKay
Warren R
WR
McKay
Rachel Eshima
RE
D000368:Aged; D000779:Anesthetics, Local / Q000009:adverse effects; D001917:Brachial Plexus; D002045:Bupivacaine / Q000009:adverse effects; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004837:Epinephrine / Q000009:adverse effects; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects*; D010102:Oxygen Inhalation Therapy; D012135:Respiratory Sounds / Q000187:drug effects; D012140:Respiratory Tract Diseases / Q000139:chemically induced* / Q000503:physiopathology; D014062:Tongue Neoplasms / Q000601:surgery; D014662:Vasoconstrictor Agents / Q000009:adverse effects; D014826:Vocal Cord Paralysis / Q000139:chemically induced* / Q000503:physiopathology
D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D002045:Bupivacaine; D004837:Epinephrine