Role of Ultrasound-Guided Hemidiaphragm Sparing Brachial Plexus Block in the Morbidly Obese Patient

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Vinod Krishnagopal; Murugan Raj; Shanmuga Priya Arulmozhi; Sam Richards

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Journal Paper

Paper Information

Journal: JOURNAL OF CELLULAR AND MOLECULAR ANESTHESIA Year:2022 | Volume:7 | Issue:4 Page(s): 251-254

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Information Journal Paper

Title

Role of Ultrasound-Guided Hemidiaphragm Sparing Brachial Plexus Block in the Morbidly Obese Patient

Author(s)

Vinod Krishnagopal | Murugan Raj | Shanmuga Priya Arulmozhi | Sam Richards | Issue Writer Certificate

Keywords

Obesity

Functional residual capacity

Brachial plexus block

Hemidiaphragmatic palsy

Abstract

Patients with Grade III obesity pose unique challenges to the treating anesthesiologists. The challenges range from difficulty in intravenous cannulation to airway management. Regional anesthesia is advantageous over general anesthesia as it avoids airway manipulation, prevents reduction in functional residual capacity, and provides good postoperative analgesia. Regional anesthesia has its pitfalls like identifying the landmarks accurately and hemi diaphragmatic palsy following brachial plexus block. Hemi diaphragmatic palsy is poorly tolerated in grade III obese patients leading to increased peri-operative morbidity which undermines the advantages of regional over general anesthesia. Ultrasound-guided costoclavicular brachial plexus block (CCBPB) has the benefit of reduced hemi diaphragmatic palsy, avoiding pleural injury, and wider distribution of sensory blockade. Costoclavicular block has been administered to obese patients in the past with great success. We are reporting a successful case of ultrasound-guided costoclavicular brachial plexus block performed in an obese patient with a BMI of 51. 56 Kg/m2.

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APA: Copy

Vinod, Krishnagopal, Murugan, Raj, Shanmuga Priya, Arulmozhi, & Sam, Richards. (2022). Role of Ultrasound-Guided Hemidiaphragm Sparing Brachial Plexus Block in the Morbidly Obese Patient. JOURNAL OF CELLULAR AND MOLECULAR ANESTHESIA, 7(4), 251-254. SID. https://sid.ir/paper/1079944/en

Vancouver: Copy

Vinod Krishnagopal, Murugan Raj, Shanmuga Priya Arulmozhi, Sam Richards. Role of Ultrasound-Guided Hemidiaphragm Sparing Brachial Plexus Block in the Morbidly Obese Patient. JOURNAL OF CELLULAR AND MOLECULAR ANESTHESIA[Internet]. 2022;7(4):251-254. Available from: https://sid.ir/paper/1079944/en

IEEE: Copy

Krishnagopal Vinod, Raj Murugan, Arulmozhi Shanmuga Priya, and Richards Sam, “Role of Ultrasound-Guided Hemidiaphragm Sparing Brachial Plexus Block in the Morbidly Obese Patient,” JOURNAL OF CELLULAR AND MOLECULAR ANESTHESIA, vol. 7, no. 4, pp. 251–254, 2022, [Online]. Available: https://sid.ir/paper/1079944/en

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