Phrenic Sparing Shoulder Block: A Case Report
Mamoona Shaikh, Jamil Ahmed, Kauser Shaikh, Ghulam Mustafa Qazi, Ghulam Nabi Memon
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SUMMARY
Interscalene block is used for shoulder surgeries however it almost
always results in phrenic nerve palsy1,2. Some anaesthesiologists
have described careful ultrasound guided low volume (5mls only) of local
anesthetic interscalene block which does not cause hemidiaphragmatic paresis3.
However we present to you a case where we implied a recently described
technique of phrenic sparing involving a combination of oblique infraclavicular
brachial plexus block with subomohyoid suprascapular nerve block.
Keywords: Shoulder block, phrenic nerve palsy,
SUMMARY
Interscalene block is used for shoulder surgeries however it almost
always results in phrenic nerve palsy1,2. Some anaesthesiologists
have described careful ultrasound guided low volume (5mls only) of local
anesthetic interscalene block which does not cause hemidiaphragmatic paresis3.
However we present to you a case where we implied a recently described
technique of phrenic sparing involving a combination of oblique infraclavicular
brachial plexus block with subomohyoid suprascapular nerve block.
Keywords: Shoulder block, phrenic nerve palsy,