Transient C5 Sensory and Motor Blockade After a Unilateral T4 Paravertebral Block: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
12 Apr 2022
12 Apr 2022
Historique:
entrez:
14
4
2022
pubmed:
15
4
2022
medline:
19
4
2022
Statut:
epublish
Résumé
A thoracic paravertebral block (TPVB) can provide anesthesia for breast cancer surgeries. This case report describes a 58-year-old woman with a prolonged ipsilateral dense C5 dermatomal sensory and motor blockade after receiving a TPVB at T4 with 40 mL of 0.2% ropivacaine for a left total mastectomy, suggesting a high cephalad spread of anesthesia up to C5 paravertebral spaces. The lower extremities and the diaphragm were not involved. It is possible that the large volume of local anesthetic, even at low concentration, combined with her previous neural pathology and surgical laminectomy resulted in unexpected postoperative neurological changes.
Identifiants
pubmed: 35421000
doi: 10.1213/XAA.0000000000001583
pii: 02054229-202204000-00005
doi:
Substances chimiques
Anesthetics, Local
0
Ropivacaine
7IO5LYA57N
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01583Informations de copyright
Copyright © 2022 International Anesthesia Research Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
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