[Ultrasound guided locoregional anaesthesia: realization and diagnosis of complications].
Ultrasound has become a daily practice for anesthesiologists for central venous catheterization and regional anaesthesia, but also for the diagnosis of pleuro-pulmonary, cardiac, and vascular diseases; this is illustrated by our observation. We report a case of a cirrhotic patient who underwent emergency surgery for a Colle's fracture under ultrasound-guided supraclavicular block which was complicated by acute dyspnoea. The use of ultrasound in the operating theater has revealed hepatic hydrothorax which occurred during a diaphragmatic paralysis secondary to the blocking of phrenic nerve due to the regional anaesthesia.
Lasserre
A
A
Département des urgences adultes, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France. amelie.lasserre@yahoo.fr
Tran-Van
D
D
Gaertner
E
E
Labadie
P
P
Fontaine
B
B
D000368:Aged; D000765:Anesthesia, Conduction / Q000009:adverse effects* / Q000379:methods*; D002968:Clavicle / Q000000981:diagnostic imaging; D004417:Dyspnea / Q000150:complications; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D006876:Hydrothorax / Q000175:diagnosis; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D009407:Nerve Block; D010791:Phrenic Nerve / Q000502:physiology; D010996:Pleural Effusion / Q000175:diagnosis / Q000000981:diagnostic imaging; D012133:Respiratory Paralysis / Q000209:etiology; D014465:Ultrasonics; D014463:Ultrasonography