Anatomical variations of the phrenic nerve and its clinical implication for supraclavicular block.
This paper reports a case of simultaneous diaphragmatic and brachial plexus stimulation followed by a successful nerve block using the supraclavicular approach. An explanation for the qualitative differences in phrenic nerve block between interscalene and supraclavicular block is postulated, based on known anatomical variations.
Bigeleisen
P E
PE
Department of Anesthesiology, Box 604, University of Rochester School of Medicine and Dentistry,Strong Memorial Hospital, 601 Elmwood Avenue, Rochester, NY 14642, USA. Paul_Bigeleisen@urmc.rochester.edu
D000328:Adult; D001917:Brachial Plexus; D002968:Clavicle; D003964:Diaphragm / Q000503:physiopathology; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000009:adverse effects*; D010292:Paresthesia / Q000209:etiology*; D010791:Phrenic Nerve / Q000002:abnormalities* / Q000033:anatomy & histology; D013484:Supination; D013933:Thumb