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- W2914124384 abstract "Interscalene block (ISB) is the brachial plexus approach most frequently used in shoulder surgery, providing better postoperative analgesia and reducing the need for rescue morphine compared to general anesthesia. While it is considered a safe block, it has been associated with a relatively high rate of complications, the most serious of which are postoperative neurologic symptoms, such as paresthesia, dysesthesia, and reduced sensitivity. We present the case of a patient with prolonged neurological deficit lasting 4 months following nerve stimulation-guided ISB. Due to the multifactorial nature of postoperative neurological lesions, it can be difficult to determine their etiology. In our case, the brachial plexopathy was probably due to the administration of local anesthetic through the perineurium. We discuss possible causes and argue for the use of ultrasound associated with nerve stimulation when an ISB is performed in order to reduce the incidence of nerve puncture. Resumen El bloqueo Interescalénico (BIE) es el abordaje al plexo braquial usado con mayor frecuencia en cirugía de hombro, que permite una mejor analgesia postoperatoria y reduce la necesidad de morfina de rescate, en comparación con la anestesia general. Si bien es cierto que se considera un bloqueo seguro, se ha asociado a una tasa de complicaciones relativamente alta, siendo la complicación más seria los síntomas neurológicos postoperatorios (SNPO), tales como parestesia, disestesia, y pérdida de la sensibilidad. Presentamos el caso de un paciente con déficit neurológico prolongado de 4 meses de duración, luego de BIE guiado por neuroestimulación. Debido a la naturaleza multifactorial de las lesiones neurológicas postoperatorias, puede ser difícil determinar su etiología. En nuestro caso, la plexopatía braquial se debió posiblemente a la administración de anestésico local (AL) a través del perineuro. Hacemos referencia a las posible causas y la opción de ultrasonido asociado a la neuroestimulación cuando se realiza un bloqueo interescalénico, a fin de reducir la incidencia de punción del nervio." @default.
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- W2914124384 date "2019-01-01" @default.
- W2914124384 modified "2023-09-27" @default.
- W2914124384 title "Prolonged brachial plexopathy following interscalene block for shoulder arthroplasty" @default.
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- W2914124384 doi "https://doi.org/10.1097/cj9.0000000000000086" @default.
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