International Journal of Neurorehabilitation

Michael Kushelev

Publications

• Review Article
  Review of Persistent Phrenic Nerve Palsy
  Author(s): Andrew T Koogler and Michael KushelevAndrew T Koogler and Michael Kushelev
  
  Regional anesthesia techniques for orthopedic surgeries have become more frequently utilized for postoperative analgesia. A commonly used technique for shoulder surgery is the interscalene brachial plexus nerve block which involves anesthetizing nerves of the shoulder. Unfortunately, patients can experience a transient phrenic nerve block resulting in dyspnea. Rarely this develops into a persistent phrenic nerve block that can out last the duration of the local anesthetics deposited around the brachial plexus. Patients with a persistent phrenic nerve block can present to neurologists and other specialists with symptoms that appear to have a cardiac or pulmonary etiology requiring prompt diagnosis and management... Read More»
  DOI: 10.4172/2376-0281.1000319

  Abstract PDF