Reduced hemidiaphragmatic paresis with extrafascial compared with conventional intrafascial tip placement for continuous interscalene brachial plexus.

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Presentation transcript:

Reduced hemidiaphragmatic paresis with extrafascial compared with conventional intrafascial tip placement for continuous interscalene brachial plexus block: a randomized, controlled, double-blind trial  E. Albrecht, I. Bathory, N. Fournier, A. Jacot-Guillarmod, A. Farron, R. Brull  British Journal of Anaesthesia  Volume 118, Issue 4, Pages 586-592 (April 2017) DOI: 10.1093/bja/aex050 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 Continuous ultrasound-guided interscalene brachial plexus block with an extrafascial catheter tip position lateral to the brachial plexus before (a) and after (b) bolus injection of local anaesthetic (LA). ASM, anterior scalene muscle; C5, C5 root; C6, C6 root; C7, C7 root; CON, catheter-over-needle after needle withdrawal; MSM, middle scalene muscle. British Journal of Anaesthesia 2017 118, 586-592DOI: (10.1093/bja/aex050) Copyright © 2017 The Author(s) Terms and Conditions

Fig 2 Study flow chart. British Journal of Anaesthesia 2017 118, 586-592DOI: (10.1093/bja/aex050) Copyright © 2017 The Author(s) Terms and Conditions

Fig 3 Hemidiaphragmatic paresis in phase 1 recovery, and on postoperative day (POD) 1 and 2. Data are expressed as a percentage with 95% confidence interval (CI). British Journal of Anaesthesia 2017 118, 586-592DOI: (10.1093/bja/aex050) Copyright © 2017 The Author(s) Terms and Conditions