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Article: Incidence of diaphragmatic paralysis following supraclavicular brachial plexus block and its effect on pulmonary function

TitleIncidence of diaphragmatic paralysis following supraclavicular brachial plexus block and its effect on pulmonary function
Authors
Issue Date2001
PublisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0003-2409
Citation
Anaesthesia (Oxford), 2001, v. 56 n. 4, p. 352-356 How to Cite?
AbstractThirty unpremedicated ASA physical status 1-3 patients aged between 18 and 69 years, scheduled for upper limb surgery, received a conventional supraclavicular brachial plexus block using a nerve stimulator and bupivacaine 0.375% 0.5 ml.kg-1. Spirometric measurements of pulmonary function and ultrasonographic assessments of diaphragmatic function were made before the block and at 10-min intervals after injection until full motor block of the brachial plexus had developed. Complete paralysis of the ipsilateral hemidiaphragm occurred in 50% of patients. Seventeen per cent of patients had reduced diaphragmatic movement and the rest (33%) had no change in diaphragmatic movement. Those with complete paralysis all showed significant decreases in pulmonary function, whereas those with reduced or normal movement had minimal change. All patients remained asymptomatic throughout, with normal oxygen saturation on room air.
Persistent Identifierhttp://hdl.handle.net/10722/145521
ISSN
2015 Impact Factor: 3.794
2015 SCImago Journal Rankings: 1.404
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMak, PHKen_HK
dc.contributor.authorIrwin, MGen_HK
dc.contributor.authorOoi, CGCen_HK
dc.contributor.authorChow, BFMen_HK
dc.date.accessioned2012-02-28T01:53:13Z-
dc.date.available2012-02-28T01:53:13Z-
dc.date.issued2001en_HK
dc.identifier.citationAnaesthesia (Oxford), 2001, v. 56 n. 4, p. 352-356en_HK
dc.identifier.issn0003-2409en_HK
dc.identifier.urihttp://hdl.handle.net/10722/145521-
dc.description.abstractThirty unpremedicated ASA physical status 1-3 patients aged between 18 and 69 years, scheduled for upper limb surgery, received a conventional supraclavicular brachial plexus block using a nerve stimulator and bupivacaine 0.375% 0.5 ml.kg-1. Spirometric measurements of pulmonary function and ultrasonographic assessments of diaphragmatic function were made before the block and at 10-min intervals after injection until full motor block of the brachial plexus had developed. Complete paralysis of the ipsilateral hemidiaphragm occurred in 50% of patients. Seventeen per cent of patients had reduced diaphragmatic movement and the rest (33%) had no change in diaphragmatic movement. Those with complete paralysis all showed significant decreases in pulmonary function, whereas those with reduced or normal movement had minimal change. All patients remained asymptomatic throughout, with normal oxygen saturation on room air.en_HK
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0003-2409en_HK
dc.relation.ispartofAnaesthesia (Oxford)en_HK
dc.rightsThe definitive version is available at www3.interscience.wiley.comen_US
dc.subject.meshAnesthetics, Local - adverse effectsen_HK
dc.subject.meshBrachial Plexusen_HK
dc.subject.meshNerve Block - adverse effectsen_HK
dc.subject.meshRespiratory Mechanics - drug effects - physiologyen_HK
dc.subject.meshRespiratory Paralysis - chemically induced - physiopathologyen_HK
dc.titleIncidence of diaphragmatic paralysis following supraclavicular brachial plexus block and its effect on pulmonary functionen_HK
dc.typeArticleen_HK
dc.identifier.emailIrwin, MG: mgirwin@hkucc.hku.hken_HK
dc.identifier.emailOoi, CGC: cgcooi@hkucc.hku.hk-
dc.identifier.authorityIrwin, MG=rp00390en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1365-2044.2001.01708-2.xen_HK
dc.identifier.pmid11284823-
dc.identifier.scopuseid_2-s2.0-0035070877en_HK
dc.identifier.hkuros58877en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035070877&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume56en_HK
dc.identifier.issue4en_HK
dc.identifier.spage352en_HK
dc.identifier.epage356en_HK
dc.identifier.isiWOS:000167888800011-
dc.publisher.placeUnited Kingdomen_HK

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