Effect of different volumes of 0.375% ropivacaine on diaphragmatic paralysis by supraclavicular brachial plexus block under ultrasound guidance | Zendy

Liangguang Zhang | Zendy; Rufa Pang | Zendy; Long Zhang | Zendy

Open Access

Effect of different volumes of 0.375% ropivacaine on diaphragmatic paralysis by supraclavicular brachial plexus block under ultrasound guidance

Author(s) -

Liangguang Zhang,

Rufa Pang,

Long Zhang

Publication year - 2020

Publication title -

annals of palliative medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 19

eISSN - 2224-5839

pISSN - 2224-5820

DOI - 10.21037/apm-20-1955

Subject(s) - medicine , ropivacaine , anesthesia , brachial plexus block , paralysis , brachial plexus , nerve block , diaphragmatic breathing , local anesthetic , vital capacity , phrenic nerve , surgery , respiratory system , lung , lung function , diffusing capacity , alternative medicine , pathology

Supraclavicular brachial plexus block (SCBPB) is a traditional anesthesia technique widely used in upper limb surgery. Ultrasound-guided SCBPB shows the peripheral structure and dynamic local anesthetic diffusion and can greatly shorten the anesthesia operation time, increase the success rate of anesthesia, and reduce the incidence of complications. However, it can still block the phrenic nerve and paralyze the diaphragm, which can be difficult to avoid. This study investigated two different volumes of the same concentration of ropivacaine used in ultrasound-guided SCBPB, and compared the effects on the incidence of diaphragmatic paralysis, pulse oxygen saturation (SpO2) and lung function in patients.

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