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2012, Number 4

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Rev Mex Anest 2012; 35 (4)

Deep coma and respiratory arrest as a complication of interscalene brachial plexus block

Martínez-López MP, Beleña-Burgos JM, Alonso-Pereiro E, Yuste-Echarren FJ

Language: Spanish
References: 10
Page: 283-285
PDF size: 64.80 Kb.


ABSTRACT

The interscalene approach is the more proximal technique for brachial plexus block, mainly indicated for shoulder and proximal upper limb surgery. We present the case of a 55-yr-old woman that went into deep coma and respiratory failure, with no haemodynamic instability, after interscalene block that achieved satisfactory evolution, regaining consciousness and recovering the mobility of her limb 2-3 hours after the block. Central diffusion (epidural block, subdural block and intrathecal or total spinal anesthesia) is a rare but serious complication caused by a direct puncture through an intervertebral foramen (usually C6-C7). We discuss the different etiologies of this complication


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