Hoarseness of voice after supraclavicular ultrasound-guided subclavian perivascular brachial plexus block

Gupta, Monika; Jain, Panna; Bhalla, Swaran; Upadhyay, Nitish

doi:10.4103/theiaforum.theiaforum_16_17

Cited by 7 publications

(13 citation statements)

References 1 publication

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“…8 Digital pressure has proven to be effective in containing LA into areas of brachial plexus during brachial plexus block. 3 In our case though we had not provided digital compression we had elevated the head end of the bed by 30° and massage of the area was done for around 5-10 minutes. This manoeuvre also seemed to be partially effective as the hoarseness of voice our patient experienced lasted for only two hours in contrast to 48 hours in patient of Naaz S et al 5 Hence, we would also like to propose that in addition to digital compression, elevating the head end of the bed have an added advantage of restricting the injected drug within the fascial sheath.…”

Section: Discussionmentioning

confidence: 89%

“…2 Although rare, recurrent laryngeal nerve (RLN) palsy has been documented in 1.3% of cases of classical SCB. 3 It has mostly been reported in the right sided block which is well explained by its relationship with the right subclavian artery (SCA). The right RLN encircles the right SCA.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…Gupta et al and Sahu et al reported hoarseness of voice following ultrasound guided right supraclavicular block. [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.…”

Section: Discussionmentioning

confidence: 96%

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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Sedoanalgesia Versus Infraclavicular Block for Closed Reduction of Pediatric Forearm Fracture in Emergency Department

Karagöz¹,

Tekin²,

Aydın

et al. 2020

Pediatr Emer Care

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Objective: Procedural sedoanalgesia is commonly used in pediatric patients in the emergency department (ED) for interventional procedures, diagnosis, and treatment. However, this method causes serious systemic complications, such as respiratory and cardiac depression. To minimize these complications, ultrasound-guided regional anesthesia methods have been used in recent years. We aimed to compare the use of procedural sedoanalgesia (PSA) and infraclavicular block (ICB) in the pain management of pediatric patients who underwent closed reductions of forearm fractures.Materials and Methods: This prospective, randomized, clinical study included patients aged 3 to 15 years who presented to the ED with forearm fractures. The patients were divided into 2 groups: the procedural sedoanalgesia group (group PSA, n = 30) and ultrasound-guided ICB group (group ICB, n = 30). Pain scores of the patients were evaluated using the Wong-Baker FACES Scale before and during the procedure. Pain scores and parental and operator satisfaction were compared between the groups.Results: There was no statistical significance in terms of demographic data.The pain scores observed during the procedures were significantly higher in the group PSA than in the group ICB (3.07 ± 1.55 vs 0.47 ± 0.86, respectively; P < 0.001). The parental and operator satisfaction of the ICB group was significantly higher than that of the PSA group (P < 0.001).Conclusions: Ultrasound-guided ICB is a safe and effective method in the management of pain during closed reduction of forearm fracture in pediatric patients in EDs. It can be used safely in emergency rooms and has a high level of both parental and operator satisfaction.

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Hoarseness of voice after supraclavicular ultrasound-guided subclavian perivascular brachial plexus block

Cited by 7 publications

References 1 publication

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

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

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

Sedoanalgesia Versus Infraclavicular Block for Closed Reduction of Pediatric Forearm Fracture in Emergency Department

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