دورية أكاديمية
Upper trunk block for shoulder analgesia with potential phrenic nerve sparing: a preliminary anatomical report.
| العنوان: | Upper trunk block for shoulder analgesia with potential phrenic nerve sparing: a preliminary anatomical report. |
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| المؤلفون: | Cros Campoy J; Anesthesia, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK., Domingo Bosch O; Anesthesia, Worcestershire Acute Hospitals NHS Trust, Worcester, UK., Pomés J; Radiology, Hospital Clinic de Barcelona, Barcelona, Spain., Lee J; Anesthesia, Worcestershire Acute Hospitals NHS Trust, Worcester, UK., Fox B; Anaesthesia, Queen Elizabeth Hospital King's Lynn NHS Foundation Trust, King's Lynn, UK., Sala-Blanch X; Anesthesia, Hospital Clinic de Barcelona, Barcelona, Spain xavi.sala.blanch@gmail.com.; Human Anatomy and Embriology, Universitat de Barcelona, Barcelona, Spain. |
| المصدر: | Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2019 May 22. Date of Electronic Publication: 2019 May 22. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Country of Publication: England NLM ID: 9804508 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8651 (Electronic) Linking ISSN: 10987339 NLM ISO Abbreviation: Reg Anesth Pain Med |
| أسماء مطبوعة: | Publication: 2018- : [London, United Kingdom] : BMJ Original Publication: Secaucus, NJ : Churchill Livingstone, c1998- |
| مستخلص: | Background and Objectives: Ipsilateral phrenic nerve palsy (PNP) is an undesirable side of conventional approaches to interscalene brachial plexus blocks. The purpose of this study was to demonstrate whether or not the phrenic nerve can be spared by dye when injected at the division of the upper trunk of the brachial plexus. Methods: Under ultrasound guidance, 5 mL of radiolabeled dye was injected between the anterior and posterior division of the upper trunk in two fresh, cryopreserved cadavers. CT scan analysis, cadaveric dissection, and cryosectioning were performed to examine the spread of the injectate. Results: We found staining of the injectate over the entire upper trunk with its anterior and posterior divisions, the suprascapular nerve under the omohyoid muscle and the lateral pectoralis nerve, and the C5 and C6 roots. The middle trunk was partially stained. There was no evidence of dye staining of the lower trunk, anterior aspect of the anterior scalene muscle, or the phrenic nerve. Conclusions: Our study offers an anatomical basis for the possibility of providing shoulder analgesia and avoiding a PNP. Competing Interests: Competing interests: All authors have participated in the design and conduct of the study, have read and approved the document, they meet the requirements of authorship, have no conflicts of interest and consider the manuscript presents an honest work and have respected all ethical principles of the World Medical Association and the Declaration of Helsinki. (© American Society of Regional Anesthesia & Pain Medicine 2019. No commercial re-use. See rights and permissions. Published by BMJ.) |
| التعليقات: | Comment in: Reg Anesth Pain Med. 2021 May;46(5):461-462. (PMID: 32665453) |
| فهرسة مساهمة: | Keywords: anatomy; interscalene block; nerve block; postoperative analgesia; shoulder surgery; ultrasound |
| تواريخ الأحداث: | Date Created: 20190524 Latest Revision: 20240227 |
| رمز التحديث: | 20240227 |
| DOI: | 10.1136/rapm-2019-100404 |
| PMID: | 31118281 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1532-8651 |
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| DOI: | 10.1136/rapm-2019-100404 |