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Weakness of contralateral upper limb after interscalene block – A case report

We have reported a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia. He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent...

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Autores principales: Jadon, Ashok, Nage, Swapnil, Swarupa, Chintala Pavana, Motaka, Mayur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341887/
https://www.ncbi.nlm.nih.gov/pubmed/30745614
http://dx.doi.org/10.4103/ija.IJA_554_18
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author Jadon, Ashok
Nage, Swapnil
Swarupa, Chintala Pavana
Motaka, Mayur
author_facet Jadon, Ashok
Nage, Swapnil
Swarupa, Chintala Pavana
Motaka, Mayur
author_sort Jadon, Ashok
collection PubMed
description We have reported a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia. He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent spread of local anaesthetic in the cervical epidural space. No serious complication occurred due to timely intervention. The possible pathways of such unwanted epidural spread and methods to reduce such complications have been discussed.
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spelling pubmed-63418872019-02-11 Weakness of contralateral upper limb after interscalene block – A case report Jadon, Ashok Nage, Swapnil Swarupa, Chintala Pavana Motaka, Mayur Indian J Anaesth Case Report We have reported a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia. He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent spread of local anaesthetic in the cervical epidural space. No serious complication occurred due to timely intervention. The possible pathways of such unwanted epidural spread and methods to reduce such complications have been discussed. Medknow Publications & Media Pvt Ltd 2019-01 /pmc/articles/PMC6341887/ /pubmed/30745614 http://dx.doi.org/10.4103/ija.IJA_554_18 Text en Copyright: © 2019 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Jadon, Ashok
Nage, Swapnil
Swarupa, Chintala Pavana
Motaka, Mayur
Weakness of contralateral upper limb after interscalene block – A case report
title Weakness of contralateral upper limb after interscalene block – A case report
title_full Weakness of contralateral upper limb after interscalene block – A case report
title_fullStr Weakness of contralateral upper limb after interscalene block – A case report
title_full_unstemmed Weakness of contralateral upper limb after interscalene block – A case report
title_short Weakness of contralateral upper limb after interscalene block – A case report
title_sort weakness of contralateral upper limb after interscalene block – a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341887/
https://www.ncbi.nlm.nih.gov/pubmed/30745614
http://dx.doi.org/10.4103/ija.IJA_554_18
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