| CASE REPORT |
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| Year : 2012 | Volume
: 28
| Issue : 2 | Page : 249-251 |
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Can bilateral bronchospasm be a sign of unilateral phrenic nerve palsy after supraclavicular brachial plexus block?
Souvik Chaudhuri, MD Gopalkrishna, Cherish Paul, Ratul Kundu
Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka, India
Correspondence Address:
Souvik Chaudhuri
Bilva Kunja, Ground Floor, House No. 01, Eshwarnagar, Manipal
India
 Source of Support: None, Conflict of Interest: None  | Check |
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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