Tension Pneumothorax After Ultrasound-Guided Interscalene Block and Shoulder Arthroscopy

Robert Li, Ajay Lall, Everett Lai, Konrad I. Gruson

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Interscalene brachial plexus anesthesia is commonly used for outpatient arthroscopic shoulder procedures. Ultrasound guidance has helped to minimize the cardiac, neurologic, and pulmonary complications associated with this block. Although rarely reported, pneumothorax may occur as a result of direct lung injury and even in a delayed fashion. We present a case of tension pneumothorax in a patient undergoing arthroscopic rotator cuff repair under both interscalene regional and general anesthesia. Surgeons and anesthesiologists must remain aware that ultrasound-guided interscalene blocks may be associated with pneumothorax and must initiate treatment expeditiously.

Original languageEnglish (US)
Pages (from-to)E407-E410
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume44
Issue number10
StatePublished - Oct 1 2015

ASJC Scopus subject areas

  • Medicine(all)

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