Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery

Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery

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Background.Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which Nursing can result in respiratory deterioration in patients with preexisting pulmonary conditions.Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis after shoulder surgery.Case Report.We report the successful application of a combined ultrasound-guided infraclavicular brachial plexus block and Japanese Straight Perm suprascapular nerve block in a patient with a complicated pulmonary history undergoing a total shoulder replacement.

Conclusion.This case report briefly reviews the important innervations to the shoulder joint and examines the utility of the infraclavicular brachial plexus block for postoperative pain management.