Regional anesthesia with noninvasive ventilation for shoulder surgery in a patient with severe chronic obstructive pulmonary disease: a case report - Archive ouverte HAL Access content directly
Journal Articles A & A Case Reports Year : 2017

Regional anesthesia with noninvasive ventilation for shoulder surgery in a patient with severe chronic obstructive pulmonary disease: a case report

Abstract

Interscalene block (ISB) impairs ipsilateral lung function and generally is not used for patients with respiratory insufficiency. We present a 49-year-old man with chronic obstructive pulmonary disease scheduled for shoulder surgery. He was given a regional technique with an ISB (short-acting local anesthetic to minimize duration of diaphragmatic dysfunction) and suprascapular and axillary nerves blocks (long-acting local anesthetic). He was supported with noninvasive ventilation during the time of hemidiaphragmatic paralysis as documented by serial ultrasound examination. A discussion about ISB and its alternatives (general anesthesia versus brachial plexus block versus selective peripheral nerve blocks) always should occur for patients at risk for pulmonary complications.
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Dates and versions

hal-02135092 , version 1 (21-05-2019)

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Fabrice Ferré, Nina Cugnin, Charlotte Martin, Philippe Marty, Nicolas Bonnevialle, et al.. Regional anesthesia with noninvasive ventilation for shoulder surgery in a patient with severe chronic obstructive pulmonary disease: a case report. A & A Case Reports, 2017, 8 (10), pp.261-264. ⟨10.1213/XAA.0000000000000488⟩. ⟨hal-02135092⟩
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