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Reading: Phrenic nerve block, the rescue management for pneumothorax after retrolaminar block

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Phrenic nerve block, the rescue management for pneumothorax after retrolaminar block

Authors:

Priyanka Mishra ,

All India Institute of Medical Sciences, Uttarakhand, IN
About Priyanka
Senior Resident
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Praveen Talwar,

All India Institute of Medical Sciences, Uttarakhand, IN
About Praveen
Associate Professor
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Nishith Govil,

All India Institute of Medical Sciences, Uttarakhand, IN
About Nishith
Associate Professor
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Prabakaran Parameswaran

All India Institute of Medical Sciences, Uttarakhand, IN
About Prabakaran
Junior Resident
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Abstract

Retrolaminar block (RLB) has developed as a safer and easier alternative to paravertebral block (PVB). We hereby present a case of inadvertent complication of pneumothorax after administration of blind retrolaminar block. The detection of pneumothorax was made post-operatively by Point of Care Ultrasound (POCUS). Immediate rescue management was done by giving ipsilateral phrenic nerve block. The uplifting of diaphragm due to paralysis causes a reduction in chest volume, promoting the symphysis of two pleura and sealing of air leaks from lung. This appears to be an effective way to manage mild to moderate pneumothorax without intercostal chest tube drain (ICD) insertion.

How to Cite: Mishra, P., Talwar, P., Govil, N. and Parameswaran, P., 2020. Phrenic nerve block, the rescue management for pneumothorax after retrolaminar block. Sri Lankan Journal of Anaesthesiology, 28(2), pp.143–145. DOI: http://doi.org/10.4038/slja.v28i2.8516
Published on 30 Jun 2020.
Peer Reviewed

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