Respiratory Failure Following Interscalene Block for the Treatment of Shoulder Dislocation in a Patient with COVID-19
| Author | Elham Mousavi | en |
| Author | Masood Mohseni | en |
| Orcid | Elham Mousavi [0000-0002-1091-6958] | en |
| Orcid | Masood Mohseni [0000-0001-7756-2878] | en |
| Issued Date | 2021-12-31 | en |
| Abstract | Introduction: Guidelines recommend the use of regional anesthesia for patients with COVID-19, when possible. Interscalene block (ISB) is the standard care for analgesia of shoulder surgery. Hemidiaphragmatic paresis due to phrenic nerve block is expected in ISB but is usually well-compensated. We present a patient with pulmonary involvement of COVID-19 candidate for the surgery of shoulder dislocation under ISB who experienced respiratory failure after the block. Case Presentation: A 36-year-old female patient with COVID-19 developed a shoulder dislocation following a seizure. Relocating the joint was successfully attempted under intravenous sedation and ultrasound-guided ISB. The patient developed respiratory distress due to hemidiaphragmatic paresis after the block. She was managed using a continuous positive airway pressure (CPAP) mask for 48 hours until the pulmonary condition improved. Conclusions: Anesthetists should prepare themselves to replace ISB with diaphragm-sparing blocks or apply techniques to reduce the chance of hemidiaphragmatic paresis after ISB in patients with COVID-19. | en |
| DOI | https://doi.org/10.5812/ipmn.117577 | en |
| Keyword | COVID-19 | en |
| Keyword | Brachial Plexus Block | en |
| Keyword | Nerve Block | en |
| Keyword | Respiratory Insufficiency | en |
| Publisher | Brieflands | en |
| Title | Respiratory Failure Following Interscalene Block for the Treatment of Shoulder Dislocation in a Patient with COVID-19 | en |
| Type | Case Report | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- ipmn-1-1-117577.pdf
- Size:
- 91.01 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF