Department of Anaesthesia and Critical Care, Chitwan Medical College Teaching Hospital, Bharatpur, Nepal.
JNMA J Nepal Med Assoc. 2021 Sep 11;59(241):925-928. doi: 10.31729/jnma.7087.
Supraclavicular brachial plexus block is extensively used for primary regional anaesthesia as well as postoperative analgesia for the surgical procedures of the upper limb. The evidence for the use of ultrasound in supraclavicular brachial plexus is growing day by day as it has the advantage of allowing real time visualisation of the plexus, pleura and vessels along with the needle and local anaesthetics spread. Despite this, complications can even arise with ultrasound guided supraclavicular brachial plexus block. Hoarseness of voice due to recurrent laryngeal nerve block is a rare complication of supraclavicular brachial plexus block. There are few reported cases of hoarseness of voice following the right supraclavicular block. There is only one reported case of hoarseness of voice following the left supraclavicular block. Here, we report a case of a 16-year-old boy who developed hoarseness of voice due to left recurrent laryngeal nerve following ultrasound guided left supraclavicular brachial plexus block.
锁骨上臂丛神经阻滞广泛用于上肢手术的主要区域麻醉和术后镇痛。随着超声技术能够实时可视化神经丛、胸膜和血管以及针和局部麻醉剂的扩散,其在锁骨上臂丛神经阻滞中的应用证据日益增多。尽管如此,超声引导锁骨上臂丛神经阻滞也可能出现并发症。喉返神经阻滞导致声音嘶哑是锁骨上臂丛神经阻滞的罕见并发症。据报道,少数病例在进行右侧锁骨上神经阻滞后出现声音嘶哑。仅有一例报告称,在进行左侧锁骨上神经阻滞后出现声音嘶哑。在此,我们报告了一例 16 岁男孩,他在接受超声引导下左侧锁骨上臂丛神经阻滞后,由于左侧喉返神经而出现声音嘶哑。