Contralateral local anesthetic spread from an outpatient interscalene catheter

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Joshua DooleyStephen M Klein

Abstract

Ambulatory continuous infusions have been associated with improved analgesia and few serious complications. This report describes an unusual case of a patient with a continuous interscalene nerve block who developed a contralateral upper extremity sensory block. The complication did not occur until postoperative day two while the patient was at home. A 56-yr-old woman had a continuous interscalene catheter placed for arthroscopic lysis of adhesions of her shoulder. The insertion needle was initially injected with 0.5% ropivacaine 25 mL (1:400,000 epinephrine), producing a unilateral interscalene block. Postoperatively, the patient was started on a continuous interscalene infusion of 0.2% ropivacaine at 8 mL·hr(-1) via a disposable infusion pump. The next day, the patient had a unilateral brachial plexus block and an associated Horner's syndrome and was discharged home with the infusion. On the morning of the second postoperative day, the patient developed ipsilateral and contralateral Horner's syndrome with associated numbness in both shoulders. The catheter was removed and symptoms resolved four hours later. Ambulatory continuous infusions are typically associated with few serious complications and a favourable safety profile....Continue Reading

Associated Clinical Trials

Jun 26, 2014·Prof. Peter Gerner, M.D.

References

Aug 1, 1992·Anesthesia and Analgesia·J Eldor
Aug 1, 1992·Anesthesia and Analgesia·E Gologorsky, R F Leanza
Oct 1, 1991·British Journal of Anaesthesia·L B Cook
Feb 1, 1986·Anaesthesia and Intensive Care·K C HuangK Tsueda
May 1, 1983·Anesthesiology·T P Lombard, J L Couper
Jan 1, 1995·Annales Françaises D'anesthèsie Et De Rèanimation·G MahoudeauA Loewenthal
Sep 29, 2001·Anesthesiology·M K Karmakar
May 28, 2005·Anesthesia and Analgesia·Brian M Ilfeld, F Kayser Enneking
Jul 1, 1947·Anaesthesia·R R MACINTOSH, W W MUSHIN

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Citations

Feb 2, 2013·Journal of Clinical and Diagnostic Research : JCDR·Sameer Mahamud JahagirdarS Parthasarathy
Mar 26, 2014·Saudi Journal of Anaesthesia·Traiq AlzahraniAbdulaziz Al-Ahaideb
Jul 5, 2012·Anesthesiology Research and Practice·José AguirreStephan Blumenthal
Jul 18, 2014·The Korean Journal of Pain·Hyun Jung KimYun Suk Choi
Dec 24, 2015·Regional Anesthesia and Pain Medicine·Joseph M Neal
Jan 17, 2012·Current Opinion in Anaesthesiology·Zbigniew J Koscielniak-Nielsen, Jörgen B Dahl

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