Anatomical variations of the phrenic nerve and its clinical implication for supraclavicular block

This paper reports a case of simultaneous diaphragmatic and brachial plexus stimulation followed by a successful nerve block using the supraclavicular approach. An explanation for the qualitative differences in phrenic nerve block between interscalene and supraclavicular block is postulated, based o...

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Veröffentlicht in:	British journal of anaesthesia : BJA 2003-12, Vol.91 (6), p.916-917
1. Verfasser:	Bigeleisen, P.E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult anatomic variation Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Brachial Plexus Clavicle complications complications, anatomic variation Diaphragm - physiopathology Humans Male Medical sciences nerve Nerve Block - adverse effects nerve, phrenic neuromuscular block neuromuscular block, supraclavicular Paresthesia - etiology phrenic Phrenic Nerve - abnormalities Phrenic Nerve - anatomy & histology Supination supraclavicular Thumb
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Beschreibung
Zusammenfassung:	This paper reports a case of simultaneous diaphragmatic and brachial plexus stimulation followed by a successful nerve block using the supraclavicular approach. An explanation for the qualitative differences in phrenic nerve block between interscalene and supraclavicular block is postulated, based on known anatomical variations.
ISSN:	0007-0912 1471-6771
DOI:	10.1093/bja/aeg254