TY - JOUR T1 - Supraklaviküler brakial pleksus sinir bloğu sonrası gelişen ipsilateral frenik sinir hasarı TT - Ipsilateral frenic nerve damage after supraclavicular brachial plexus nerve block AU - Koçak, Yahya Fatih AU - Alparslan, Murat AU - Aydın, Gülçin PY - 2022 DA - April Y2 - 2022 DO - 10.31362/patd.1066081 JF - Pamukkale Medical Journal JO - Pam Tıp Derg PB - Pamukkale University WT - DergiPark SN - 1308-0865 SP - 395 EP - 398 VL - 15 IS - 2 LA - tr AB - Supraklaviküler brakial pleksus sinir bloğu (SBPB) hem anestezi hem de analjezi amacıyla anestezi pratiğinde kullanılmaktadır. Operasyon süresince hastanın bilincinin açık olması, solunum fonksiyonlarında değişimin olmaması, havayolu reflekslerinin korunması ve postoperatif analjezi özelliği ile genel anesteziye kıyasla daha üstündür. Bununla beraber komplikasyonları da mevcuttur. Son yıllarda ultrasonografi (Usg) eşliğinde komplikasyon oranı oldukça azalmıştır. Bu olgumuzda SBPB sonrası gelişen ipsilateral frenik sinir hasarını tartışacağız. KW - Supraklavikular blok KW - Ultrasonografi KW - Frenik sinir hasarı N2 - Supraclavicular brachial plexus nerve block (SBPB) is used in anesthesia practice for both anesthesia and analgesia. Sbpb is more preferable due to its advantages over general anesthesia. Some of these advantages are: the patient is conscious, respiratory functions are protected, airway reflexes are preserved and it has postoperative analgesia. However, there are also complications. In recent years, the complication rate with ultrasonography has decreased considerably. In this case, we will discuss the ipsilateral phrenic nerve injury after SBPB. CR - Klein SM, Evans H, Nielsen KC, Marcy S Tucker MS, Warner DS, Steele SM. Peripheral nerve block techniques for ambulatory surgery. Anesth&Analg 2005;101;1663-1676. https://doi.org/10.1213/01.ANE.0000184187.02887.24 CR - Hadzic A. Hadzıc’s textbook of Regıonal anesthesia and Acute pain management. 2. ed. McGraw-Hill Education, 2017:1315-1316. CR - Finucane BT. Complications of regional anesthesia. Second edition. Edmonton, Alberta, Canada 2007;121-149. https://doi.org/10.1007/978-0-387-68904-3 CR - https://www.uptodate.com/contents/local-anesthetic-systemic-toxicity Accessed September February 20,2022 CR - Partridge BL, Katz J, Benirschke K. Functional anatomy of the brachial plexus sheath: implications for anesthesia. Anesthesiology 1987;66:743-747. https://doi.org/10.1097/00000542-198706000-00006 CR - Hogan QH. Phrenic nerve function after interscalene block revisited: now, the long view. Anesthesiology 2013;119;250-252. https://doi.org/10.1097/ALN.0b013e31829c2f3a CR - Reynaud V, Prigent H, Mulliez A, Durand MC, Lofaso F. Phrenic nerve conduction study to diagnose unilateral diaphragmatic paralysis. Muscle&Nerve 2021; 63:327-335. https://doi.org/10.1002/mus.27144 CR - Zisquit J, Nedeff N. Interscalene block. StatPearls Publishing, 2021. CR - Ricoy J, Rodríguez Núñez N, Álvarez Dobaño JM, Toubes ME, Riveiro V, Valdés L. Diaphragmatic dysfunction. Pulmonology. 2019;25:223-235. https://doi.org/10.1016/j.pulmoe.2018.10.008 UR - https://doi.org/10.31362/patd.1066081 L1 - https://dergipark.org.tr/en/download/article-file/2224544 ER -