Superficial cervical plexus neuropathy after single-injection interscalene brachial plexus block.
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Superficial cervical plexus neuropathy after single-injection interscalene brachial plexus block. / Christ, Saskia; Rindfleisch, Franziska; Friederich, Patrick.
in: ANESTH ANALG, Jahrgang 109, Nr. 6, 6, 2009, S. 2008-2011.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Superficial cervical plexus neuropathy after single-injection interscalene brachial plexus block.
AU - Christ, Saskia
AU - Rindfleisch, Franziska
AU - Friederich, Patrick
PY - 2009
Y1 - 2009
N2 - BACKGROUND: Interscalene brachial plexus block (ISB) using the modified lateral approach provides a well-established method of anesthesia and analgesia for patients undergoing shoulder surgery. Considering the neural anatomy at the site of injection, the superficial cervical plexus may be at risk of injury. We evaluated the incidence and characteristics of superficial cervical plexus neuropathy. METHODS: During a 1-yr period, 273 consecutive patients requiring single-injection ISB for shoulder or proximal arm surgery were studied. Patients were examined for symptoms compatible with superficial cervical plexus injury before surgery, 24 h postoperatively, and contacted by telephone 31 days after surgery. Symptomatic patients received an additional phone call 6 mo after surgery. RESULTS: Twenty-four hours after shoulder surgery, 21 patients (7.7%) showed symptoms consistent with superficial cervical plexus neuropathy. Symptoms consisted of hypesthesia in 1-4 cutaneous branches of the cervical plexus. Five patients (1.8%) reported symptoms that lasted for >31 days. All symptoms had entirely resolved after 6 mo. CONCLUSIONS: Superficial cervical plexus neuropathy is not uncommon after ISB using the modified lateral approach and the possibility should be discussed with patients preprocedurally.
AB - BACKGROUND: Interscalene brachial plexus block (ISB) using the modified lateral approach provides a well-established method of anesthesia and analgesia for patients undergoing shoulder surgery. Considering the neural anatomy at the site of injection, the superficial cervical plexus may be at risk of injury. We evaluated the incidence and characteristics of superficial cervical plexus neuropathy. METHODS: During a 1-yr period, 273 consecutive patients requiring single-injection ISB for shoulder or proximal arm surgery were studied. Patients were examined for symptoms compatible with superficial cervical plexus injury before surgery, 24 h postoperatively, and contacted by telephone 31 days after surgery. Symptomatic patients received an additional phone call 6 mo after surgery. RESULTS: Twenty-four hours after shoulder surgery, 21 patients (7.7%) showed symptoms consistent with superficial cervical plexus neuropathy. Symptoms consisted of hypesthesia in 1-4 cutaneous branches of the cervical plexus. Five patients (1.8%) reported symptoms that lasted for >31 days. All symptoms had entirely resolved after 6 mo. CONCLUSIONS: Superficial cervical plexus neuropathy is not uncommon after ISB using the modified lateral approach and the possibility should be discussed with patients preprocedurally.
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - dosage
KW - Time Factors
KW - Anesthetics, Local administration
KW - Arm surgery
KW - Brachial Plexus
KW - Cervical Plexus injuries
KW - Hypesthesia etiology
KW - Injections adverse effects
KW - Nerve Block adverse effects
KW - Shoulder surgery
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - dosage
KW - Time Factors
KW - Anesthetics, Local administration
KW - Arm surgery
KW - Brachial Plexus
KW - Cervical Plexus injuries
KW - Hypesthesia etiology
KW - Injections adverse effects
KW - Nerve Block adverse effects
KW - Shoulder surgery
M3 - SCORING: Zeitschriftenaufsatz
VL - 109
SP - 2008
EP - 2011
JO - ANESTH ANALG
JF - ANESTH ANALG
SN - 0003-2999
IS - 6
M1 - 6
ER -
