Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery

The mechanism of ipsilateral shoulder pain (ISP) after thoracic surgery remains unexplained definitively in the literature. Regional techniques targeting specific nerves more precisely will provide practitioners with a better understanding of the pain source. We report the case of a 51-year-old woma...

Descripción completa

Detalles Bibliográficos
Autores principales: Le-Wendling, Linda, Ihnatsenka, Barys, Maurer, Adrian J, Zasimovich, Yury
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959652/
https://www.ncbi.nlm.nih.gov/pubmed/33738173
http://dx.doi.org/10.7759/cureus.13330
_version_ 1783664996375330816
author Le-Wendling, Linda
Ihnatsenka, Barys
Maurer, Adrian J
Zasimovich, Yury
author_facet Le-Wendling, Linda
Ihnatsenka, Barys
Maurer, Adrian J
Zasimovich, Yury
author_sort Le-Wendling, Linda
collection PubMed
description The mechanism of ipsilateral shoulder pain (ISP) after thoracic surgery remains unexplained definitively in the literature. Regional techniques targeting specific nerves more precisely will provide practitioners with a better understanding of the pain source. We report the case of a 51-year-old woman who underwent robotic-assisted plication of the right hemidiaphragm. ISP was adequately managed using a low-volume infusion through a continuous phrenic nerve block in addition to a thoracic epidural for her chest pain. ISP after thoracic surgery likely originates from diaphragm manipulation. Phrenic nerve blockade is a successful strategy that does not worsen subjective dyspnea in this setting.
format Online
Article
Text
id pubmed-7959652
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-79596522021-03-17 Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery Le-Wendling, Linda Ihnatsenka, Barys Maurer, Adrian J Zasimovich, Yury Cureus Anesthesiology The mechanism of ipsilateral shoulder pain (ISP) after thoracic surgery remains unexplained definitively in the literature. Regional techniques targeting specific nerves more precisely will provide practitioners with a better understanding of the pain source. We report the case of a 51-year-old woman who underwent robotic-assisted plication of the right hemidiaphragm. ISP was adequately managed using a low-volume infusion through a continuous phrenic nerve block in addition to a thoracic epidural for her chest pain. ISP after thoracic surgery likely originates from diaphragm manipulation. Phrenic nerve blockade is a successful strategy that does not worsen subjective dyspnea in this setting. Cureus 2021-02-13 /pmc/articles/PMC7959652/ /pubmed/33738173 http://dx.doi.org/10.7759/cureus.13330 Text en Copyright © 2021, Le-Wendling et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Le-Wendling, Linda
Ihnatsenka, Barys
Maurer, Adrian J
Zasimovich, Yury
Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery
title Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery
title_full Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery
title_fullStr Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery
title_full_unstemmed Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery
title_short Efficacy of Phrenic Nerve Catheter in Ipsilateral Shoulder Pain After Thoracic Surgery
title_sort efficacy of phrenic nerve catheter in ipsilateral shoulder pain after thoracic surgery
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959652/
https://www.ncbi.nlm.nih.gov/pubmed/33738173
http://dx.doi.org/10.7759/cureus.13330
work_keys_str_mv AT lewendlinglinda efficacyofphrenicnervecatheterinipsilateralshoulderpainafterthoracicsurgery
AT ihnatsenkabarys efficacyofphrenicnervecatheterinipsilateralshoulderpainafterthoracicsurgery
AT maureradrianj efficacyofphrenicnervecatheterinipsilateralshoulderpainafterthoracicsurgery
AT zasimovichyury efficacyofphrenicnervecatheterinipsilateralshoulderpainafterthoracicsurgery

Ejemplares similares