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  • Title: Transient hemidiaphragmatic paresis after ultrasound-guided lateral sagittal infraclavicular block.
    Author: Yang CW, Jung SM, Kwon HU, Kang PS, Cho CK, Choi HJ.
    Journal: J Clin Anesth; 2013 Sep; 25(6):496-8. PubMed ID: 23965197.
    Abstract:
    As compared with medial approaches for the infraclavicular brachial plexus block, lateral approaches generally have no impact on the phrenic nerve or pulmonary function. A patient experienced transient hemidiaphragmatic paresis after ultrasound-guided lateral sagittal infraclavicular block for lower arm surgery. An accessory phrenic nerve, ie, an anatomical variation, may have been the mechanism of transient hemidiaphragmatic paresis in this patient.
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