Double trouble: hoarseness and Horner’s after supraclavicular brachial plexus block

Balaji, Rohini Mayur; Sherfudeen, Khaja Mohideen; Kumar, Senthil

doi:10.1080/22201181.2017.1281519

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…[6][7] Similarly, Balaji et al reported RLN block and Horner's syndrome in a same patient following peripheral nerve stimulator (PNS) guided right supraclavicular block. 8 The RLN block due to left supraclavicular block is very rare. There is only one case report of an RLN block following the left supraclavicular block.…”

Section: Discussionmentioning

confidence: 99%

Hoarseness of Voice following Left Supraclavicular Brachial Plexus Block: A Case Report

et al. 2021

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Supraclavicular brachial plexus block is extensively used for primary regional anaesthesia as well as postoperative analgesia for the surgical procedures of the upper limb. The evidence for the use of ultrasound in supraclavicular brachial plexus is growing day by day as it has the advantage of allowing real time visualisation of the plexus, pleura and vessels along with the needle and local anaesthetics spread. Despite this, complications can even arise with ultrasound guided supraclavicular brachial plexus block. Hoarseness of voice due to recurrent laryngeal nerve block is a rare complication of supraclavicular brachial plexus block. There are few reported cases of hoarseness of voice following the right supraclavicular block. There is only one reported case of hoarseness of voice following the left supraclavicular block. Here, we report a case of a 16-year-old boy who developed hoarseness of voice due to left recurrent laryngeal nerve following ultrasound guided left supraclavicular brachialplexus block.

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Section: Discussionmentioning

confidence: 99%

Hoarseness of Voice following Left Supraclavicular Brachial Plexus Block: A Case Report

et al. 2021

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“…7 When the large volume of LA is injected there is a possibility of proximal spread of drug involving RLN as previously reported. 3,6 Various techniques have been described to limit the spread of injected LA into the brachial plexus. These include the use of tourniquet position of the arm, use of massage, multiple injection techniques and digital pressure.…”

Section: Discussionmentioning

confidence: 99%

“…2 The recurrent laryngeal nerve palsy is an occasional complication mostly reported on the right-sided blocks and one case of left RLN palsy has been reported using USG for SCB. 3,4,5,6 We report a case of a 50-year-oldfemale patient, who developed hoarseness of voice following a left-sided classical supraclavicular block.…”

Section: Introductionmentioning

confidence: 99%

A Unique Case of Hoarseness of Voice following Left Sided Supraclavicular Block: A Case Report

et al. 2020

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Supraclavicular brachial plexus block is popular for surgeries distal to the level of mid-arm. Though rare, recurrent laryngeal nerve palsy can occur in 1.3% of cases. It has been reported mostly in cases of right-sided block and only one case has been reported on the left side. We present a case of 50-year-old-female patient, who developed hoarseness of voice following a left-sided classical supraclavicular block.

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“…Table II). a popular procedure 3 . In recent years it has gained popularity with addition of various adjuncts to local anaesthetic solution in an attempt to increase its e cacy and duration.…”

Section: Introductionmentioning

confidence: 99%

Effect of Verapamil Adjuvant with Local Anaesthetic Mixtures in Supraclavicular Brachial Plexus Block

Ali¹,

Rahman

Hassan

et al. 2019

Bangladesh Med J

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Among the various approaches to block brachial plexus , supraclavicular approach offers a high success rate for elbow, forearm and hand surgery . Various adjuvant drugs have been used with local anesthetics in order to decrease the time of onset and prolong the duration and quality of regional blocks. So efforts were made to combine the adjuvant with local anesthetics to improve patient and surgeon satisfaction. In this randomized study we tried to see the effect of verapamil in brachial plexus block as an adjuvant with local anaesthetic .This randomized study wasconducted in Anaesthesiology department of ShaheedZiaurRahman Medical College Hospital after approved by the ethical review board of this hospital.The study subject were divided into two groups (Group A=only local anaesthetics&Group B=local anaesthetics with Verapamil) , 30 IN numbers in each group. Group-A patients was administered 15ml of 1% lignocaine with 15 ml of bupivacaine 0.25% while in Group-B patients was administered injection verapamil 3.5 ml (3.5 mg) in addition to the above mixture. In this study mean onset time of sensory block was 11.53 ± 1.4 minutes in group - A and 7.12 ± 1.68 minutes in group – B which is not statistically significant (p value = 0.057). The mean onset time of motor block in group A was 15.26 ± 1.96 min, and in group B was 11.58 ± 2.68 min and this difierence isstatistically significant (p value=0.000152). Duration of motor block was 96.30 min and 115.08 min in group A and Group B respectively. Sensory block was 157.26 min and 188.0 min in group A and Group B respectively. Regarding the heart rate, no significant difference was detected between the groups at the time of preanesthesia and at the 5 min after anaesthesia. Compared with group B patients, group A patients shows slight but statistically significant increased heart rate at the 10 min (80, 92 beat/min respectively) after brachial plexus block. At 30 minute after, mean systolic BP was 97.9±4.7 mmHg in group A and 84.3±5.0 mmHg in group B. At 45 minute after, mean systolic blood pressure was 94.6±15.6 mmHg and 84.3±5.0 mmHg in group A and group B respectively. At 60 minutes after, mean systolic blood pressure was 59.6±6.0 mmHg in group A and 61.2±9.4 mmHg in group B. At 15, 30 and 45 minute difference was statistically significant (p<0.05) between two groups. In conclusion, the study revealed that verapamil can be used as an adjuvant to decrease the onset time of sensory and motor blocks of bupivacaine in supraclavicular block. Moreover, verapamil doses in regional blocks did not show any hemodynamic side effects. Bangladesh Med J. 2017 May; 46 (2): 43-47

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Double trouble: hoarseness and Horner’s after supraclavicular brachial plexus block

Abstract: View related articles View Crossmark data Citing articles: 1 View citing articles Southern African Journal of Anaesthesia and Analgesia is co-published by Medpharm Publications, NISC (Pty) Ltd and Informa UK Limited [trading as the Taylor & Francis Group].

Cited by 6 publications

References 4 publications

Hoarseness of Voice following Left Supraclavicular Brachial Plexus Block: A Case Report

Hoarseness of Voice following Left Supraclavicular Brachial Plexus Block: A Case Report

A Unique Case of Hoarseness of Voice following Left Sided Supraclavicular Block: A Case Report

Effect of Verapamil Adjuvant with Local Anaesthetic Mixtures in Supraclavicular Brachial Plexus Block

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