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- W4387478507 abstract "<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Not relevant (see information at the bottom of this page) <b>Application for ESRA Abstract Prizes:</b> I don’t wish to apply for the ESRA Prizes <h3>Background and Aims</h3> A 50 years old, male patient, was scheduled for surgical repair of rotator cuff injury. An interscalene approach to the brachial plexus was selected to provide analgesia and was combined with general anesthesia (TIVA). During the immediate post-operative period, the patient developed shortness of breath and complained for easy fatigue, which, after a detailed examination, were attributed to a paralysis of the right phrenic nerve, resulting in the elevation of the right hemidiaphragm and causing the symptoms. This was considered a complication of the interscalene block. <h3>Methods</h3> After six months with no improvement, a restoration of the diaphragm with thoracoscopic technique was decided. The patient was scheduled for diaphragm plication. The anesthesia was performed with paravertebral block and general anesthesia (TIVA). Throughout the 6 hours long surgery, the patient remained hemodynamically stable, while he didn’t present any other analgesic demands. After the operation, the patient was extubated and his level of analgesia was assessed, based on NOL (15) and VAS (2) scales. <h3>Results</h3> Throughout the 6 hours long surgery, the patient remained hemodynamically stable, while he didn’t present any other analgesic demands. After the operation, the patient was extubated and his level of analgesia was assessed, based on NOL (15) and VAS (2) scales. <h3>Conclusions</h3> Paravertebral block is an attractive regional anesthetic technique, as it can provide excellent unilateral analgesia, with a low rate of hypotension compared to epidural anesthesia for thoracic and abdominal procedures. In our case, paravertebral block was proved an efficient analgesic technique for a long and laborious time operation." @default.
- W4387478507 created "2023-10-11" @default.
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- W4387478507 date "2023-09-01" @default.
- W4387478507 modified "2023-10-12" @default.
- W4387478507 title "#36488 Thoracic paravertebral block (TPVB) for treatment of elevated hemidiaphragm due to phrenic nerve injury after interscalene block" @default.
- W4387478507 doi "https://doi.org/10.1136/rapm-2023-esra.547" @default.
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