Supraklaviküler brakial pleksus sinir bloğu sonrası gelişen ipsilateral frenik sinir hasarı
Supraklaviküler brakial pleksus sinir bloğu (SBPB) hem anestezi hem de analjezi amacıyla anestezi pratiğinde kullanılmaktadır. Operasyon süresince hastanın bilincinin açık olması, solunum fonksiyonlarında değişimin olmaması, havayolu reflekslerinin korunması ve postoperatif analjezi özelliği ile genel anesteziye kıyasla daha üstündür. Bununla beraber komplikasyonları da mevcuttur. Son yıllarda ultrasonografi (Usg) eşliğinde komplikasyon oranı oldukça azalmıştır. Bu olgumuzda SBPB sonrası gelişen ipsilateral frenik sinir hasarını tartışacağız.
Ipsilateral frenic nerve damage after supraclavicular brachial plexus nerve block
Supraclavicular brachial plexus nerve block (SBPB) is used in anesthesia practice for both anesthesia and analgesia. Sbpb is more preferable due to its advantages over general anesthesia. Some of these advantages are: the patient is conscious, respiratory functions are protected, airway reflexes are preserved and it has postoperative analgesia. However, there are also complications. In recent years, the complication rate with ultrasonography has decreased considerably. In this case, we will discuss the ipsilateral phrenic nerve injury after SBPB.
___
- Klein SM, Evans H, Nielsen KC, Marcy S Tucker MS, Warner DS, Steele SM. Peripheral nerve block techniques for ambulatory surgery. Anesth&Analg 2005;101;1663-1676. https://doi.org/10.1213/01.ANE.0000184187.02887.24
- Hadzic A. Hadzıc’s textbook of Regıonal anesthesia and Acute pain management. 2. ed. McGraw-Hill Education, 2017:1315-1316.
- Finucane BT. Complications of regional anesthesia. Second edition. Edmonton, Alberta, Canada 2007;121-149. https://doi.org/10.1007/978-0-387-68904-3
- https://www.uptodate.com/contents/local-anesthetic-systemic-toxicity Accessed September February 20,2022
- Partridge BL, Katz J, Benirschke K. Functional anatomy of the brachial plexus sheath: implications for anesthesia. Anesthesiology 1987;66:743-747. https://doi.org/10.1097/00000542-198706000-00006
- Hogan QH. Phrenic nerve function after interscalene block revisited: now, the long view. Anesthesiology 2013;119;250-252. https://doi.org/10.1097/ALN.0b013e31829c2f3a
- Reynaud V, Prigent H, Mulliez A, Durand MC, Lofaso F. Phrenic nerve conduction study to diagnose unilateral diaphragmatic paralysis. Muscle&Nerve 2021; 63:327-335. https://doi.org/10.1002/mus.27144
- Zisquit J, Nedeff N. Interscalene block. StatPearls Publishing, 2021.
- Ricoy J, Rodríguez Núñez N, Álvarez Dobaño JM, Toubes ME, Riveiro V, Valdés L. Diaphragmatic dysfunction. Pulmonology. 2019;25:223-235. https://doi.org/10.1016/j.pulmoe.2018.10.008