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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 2  |  Page : 249-251

Can bilateral bronchospasm be a sign of unilateral phrenic nerve palsy after supraclavicular brachial plexus block?


Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka, India

Correspondence Address:
Souvik Chaudhuri
Bilva Kunja, Ground Floor, House No. 01, Eshwarnagar, Manipal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.94912

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Ultrasound-guided peripheral nerve blocks facilitate ambulatory anesthesia for upper limb surgeries. Unilateral phrenic nerve blockade is a common complication after interscalene brachial plexus block, rather than the supraclavicular block. We report a case of severe respiratory distress and bilateral bronchospasm following ultrasound-guided supraclavicular brachial plexus block. Patient did not have clinical features of pneumothorax or drug allergy and was managed with oxygen therapy and salbutamol nebulization. Chest X-ray revealed elevated right hemidiaphragm confirming unilateral phrenic nerve paresis.


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