A Case of Hospitalization After Pre-operative Interscalene Nerve Block in an Ambulatory Surgery Center.

Autor:	Desai M; Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA., Willson CM; Department of Clinical Medicine, Des Moines University, West Des Moines, USA., Chitty L; Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA., Gang BW; Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA., Lydon K; Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA., Shah S; Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 06; Vol. 16 (5), pp. e59717. Date of Electronic Publication: 2024 May 06 (Print Publication: 2024).
DOI:	10.7759/cureus.59717
Abstrakt:	Interscalene nerve block (ISB) is an effective and low-risk local anesthetic (LA) procedure that is commonly employed for shoulder surgery. While phrenic nerve involvement occurs to some degree in every ISB procedure, the incidence of hypoxemia and other clinical signs of diaphragmatic disruption is much lower. This is a case of a 36-year-old female with no underlying respiratory disease who developed hypoxemia requiring a night of observation following an ISB for a rotator cuff repair procedure in an ambulatory surgical center. Her hypoxemia was easily treated with supplemental oxygen and she made a full recovery by the next day. The use of ultrasound guidance, reduced LA volume, less potent medication, sterile fluid for optimal visualization, and extrafascial administration should be considered for all patients receiving an ISB to prevent respiratory complications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Desai et al.)
Databáze:	MEDLINE
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