Prolonged hemidiaphragmatic paresis following continuous interscalene brachial plexus block

Shinn, Helen Ki; Kim, Byung-Gun; Jung, Jong Kwon; Kwon, Hee Uk; Yang, Chun Woo; Won, Jong-Hun

doi:10.1097/md.0000000000003891

Cited by 10 publications

(6 citation statements)

References 11 publications

(14 reference statements)

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“…In this context, comparative anatomy of the formation of the brachial plexus has been studied since the 19th century (Paterson 1887). The brachial plexus is a complex anatomical structure, from its origin to the neck and to its final branching in the axillary region (Fazan et al 2003), and remains one of the most intriguing themes of contemporary anatomy (Johnson et al 2010;Souza-Junior et al 2014;Mistry et al 2016;Shinn et al 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Knowledge on the anatomical characteristics and the variations of this plexus is an important ally in applied studies, and may make the diagnosis of neuromuscular dysfunctions easier (Freeman et al 2009). Besides, it may guide local and regional anaesthetic nerve block techniques, once these techniques lead to intraoperative analgesia for musculoskeletal structures of the thoracic limbs and the shoulders (Futema et al 1999;Mencalha et al 2014Mencalha et al , 2016Mistry et al 2016;Shinn et al 2016).…”

Section: Introductionmentioning

confidence: 99%

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Origin and antimeric distribution of brachial plexus nerves in Macaca mulatta (Zimmermann, 1780) (Primates: Cercopithecidae)

Santos-Sousa

Gomes

Carvalho

et al. 2016

Italian Journal of Zoology

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Morphology studies provide knowledge that allows us to understand how animals interact with their natural environment or in captivity. In this context, comparative anatomy on the formation of the brachial plexus has been a matter of interest since the 19th century, and remains one of the most intriguing topics of contemporary anatomy. The aim of this study was to describe the origin and the antimeric distribution of the brachial plexus nerves in Macaca mulatta, as well as the muscles innervated by it. Ten male rhesus monkeys (Macaca mulatta) were used. Animals came from the Laboratory Animals Breeding Centre (Cecal/Fiocruz), and were donated to the Animal Anatomy Department of the Universidade Federal Rural do Rio de Janeiro. Specimens were fixed in formaldehyde by infusion of a 10% solution. They were subsequently kept in low-density polythene containers with 500 L of 30% formaldehyde over a period of 12 months. In 11 plexus (55%) the resulting nerves were constituted by the connections between the ventral spinal branches C5, C6, C7, C8 and T1. In five plexus (25%), the participant roots were C4, C5, C6, C7, C8, T1 and T2. In two (10%) plexus, they were C5, C6, C7, C8, T1 and T2. In the other two (10%) plexus it was observed to be formed from C6, C7, C8, T1 and T2. The ventral branches formed three nerve trunks: cranial, middle and caudal. The suprascapular, subscapular, axillary, musculocutaneous, radial, median and ulnar nerves innervated the intrinsic muscles. The subclavian, thoracodorsal, medial cutaneous nerve of the arm and forearm, long thoracic, cranial pectoral and caudal pectoral innervated extrinsic muscles. Results obtained in this study contribute to the field of comparative anatomy of primates, and provide information for applied research, serving as a basis for clinical and surgical procedures that use this species as a model animal.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Origin and antimeric distribution of brachial plexus nerves in Macaca mulatta (Zimmermann, 1780) (Primates: Cercopithecidae)

Santos-Sousa

Gomes

Carvalho

et al. 2016

Italian Journal of Zoology

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“…Once these conditions occur, surgeons need to consider the possibility of thoracotomy and the possibility of stopping the study at any time. A fall in blood pressure is known to occur during propofol-based anaesthesia 21 , and PNB has a transient effect on pulmonary function that is limited to the duration of the operation 22 , 23 . In the present study, all of these factors were indeed observed in both groups.…”

Section: Discussionmentioning

confidence: 99%

Phrenic nerve block during nonintubated video-assisted thoracoscopic surgery: a single-centre, double-blind, randomized controlled trial

Zhu

Wang

Gao

et al. 2021

Sci Rep

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There has been interest in the use of nonintubated techniques for video-assisted thoracoscopic surgery (VATS) in both awake and sedated patients. The authors’ centre developed a nonintubated technique with spontaneous ventilation for use in a patient under general anaesthesia using a phrenic nerve block. This treatment was compared with a case-matched control group. The authors believe that this technique is beneficial for optimizing anaesthesia for patients undergoing VATS. The patients were randomly allocated (1:1) to the phrenic nerve block (PNB) group and the control group. Both groups of patients received a laryngeal mask airway (LMA) that was inserted after anaesthetic induction, which permitted spontaneous ventilation and local anaesthesia in the forms of a paravertebral nerve block, a PNB and a vagal nerve block. However, the patients in the PNB group underwent procedures with 2% lidocaine, whereas saline was used in the control group. The primary outcome included the propofol doses. Secondary outcomes included the number of propofol boluses, systolic blood pressure (SBP), pH values of arterial blood gas and lactate (LAC), length of LMA pulled out, length of hospital stay (length of time from the operation to the time of discharge) and complications after 1 month. Intraoperatively, there were increases in lactate (F = 12.31, P = 0.001) in the PNB group. There was less propofol (49.20 ± 8.73 vs. 57.20 ± 4.12, P = 0.000), fewer propofol boluses (P = 0.002), a lower pH of arterial blood gas (F = 7.98, P = 0.006) and shorter hospital stays (4.10 ± 1.39 vs. 5.40 ± 1.22, P = 0.000) in the PNB group. There were no statistically significant differences in the length of the LMA pulled out, SBP or complications after 1 month between the groups. PNB optimizes the anaesthesia of nonintubated VATS.

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“…Knowledge of the anatomic pattern and potential variations in the development of the brachial plexus is important in specific situations. For example, it can guide local and regional anaesthetic blocking techniques that result in the analgesia of somatic structures in thoracic limbs (Futema et al 1999;Mencalha et al 2016;Mistry et al 2016;Shinn et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Origin and antimeric distribution of brachial plexus nerves inAlouatta guariba clamitansCabrera, 1940 (Primates: Atelidae)

Souza

Carvalho

Döwich

et al. 2018

The European Zoological Journal

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The Southern brown howler monkey, Alouatta guariba clamitans, is one of the largest Neotropical primates. The objective of this study was to describe the origin and antimeric distribution of brachial plexus nerves in A. g. clamitans and, thereby, to provide information for comparative anatomy and for anatomy applied to loco-regional anaesthetic blocking in primates. For this purpose, a macrodissection of 10 thoracic limbs of corpses that were collected from highways was performed, and the corpses were stored in 10% formaldehyde solution. The brachial plexus was essentially formed from the ventral spinal branches of segments C5 to T1, although in one specimen the contribution of C4 and in another specimen the contribution of T2 was registered. There was a grouping of ventral branches in cranial, medium and caudal trunks, and branches of C5 and C7 were the ones that mostly contributed to the origin of nerves from the plexus. Comparatively, the brachial plexus from A. g. clamitans reflected characteristics that are typical in the primate order, but also of mammal species that require versatility and precision in movements of the thoracic limbs. On the basis of that similarity, it is proposed that anatomic landmarks for anaesthetic block techniques used in other primate species may be successfully applied to A. g. clamitans.

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Prolonged hemidiaphragmatic paresis following continuous interscalene brachial plexus block

Cited by 10 publications

References 11 publications

Origin and antimeric distribution of brachial plexus nerves in Macaca mulatta (Zimmermann, 1780) (Primates: Cercopithecidae)

Origin and antimeric distribution of brachial plexus nerves in Macaca mulatta (Zimmermann, 1780) (Primates: Cercopithecidae)

Phrenic nerve block during nonintubated video-assisted thoracoscopic surgery: a single-centre, double-blind, randomized controlled trial

Origin and antimeric distribution of brachial plexus nerves inAlouatta guariba clamitansCabrera, 1940 (Primates: Atelidae)

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