Persistent phrenic palsy following interscalene block, leading to chronic respiratory insufficiency and requiring long-term non-invasive ventilation

Christel Saint Raymond, Jean Christian Borel, Bernard Wuyam, Philippe Gil, Jean François Payen, Patrick Lévy, Jean Louis Pépin

Research output: Contribution to journalArticlepeer-review

Abstract

A persistent phrenic palsy after interscalene block is a rare but possibly severe complication particularly in patients with previous lung function impairment or co-morbidities. We report the case of a patient, with a past history of post-traumatic diaphragmatic eventration, who presents a persistent respiratory insufficiency leading to long term non-invasive ventilation following interscalene block for rotator cuff shoulder surgery. A preoperative careful evaluation of patients addressed to interscalene block could avoid such long term complications. Crown

Original languageEnglish (US)
Pages (from-to)253-255
Number of pages3
JournalRespiratory Medicine CME
Volume1
Issue number3
DOIs
StatePublished - 2008

Keywords

  • Anaesthesia
  • Interscalene block
  • Non-invasive ventilation
  • Phrenic palsy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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