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Anesth Analg 2003;96:1191-1192
© 2003 International Anesthesia Research Society

REGIONAL ANESTHESIA

Airway Difficulty After a Brachial Plexus Subclavian Perivascular Block

Mark Rollins, MD, Warren R. McKay, MD, and Rachel Eshima McKay, MD

Department of Anesthesia and Perioperative Care, University of California, San Francisco, California

Address correspondence and reprint requests to Rachel Eshima McKay, MD, University of California, San Francisco, Department of Anesthesia and Perioperative Care, 521 Parnassus Ave., Room C-450, Box 0648, San Francisco, CA 94143-0468. Address e-mail to eshimar{at}anesthesia.ucsf.edu

IMPLICATIONS: We report a case of upper airway obstruction after subclavian perivascular block in a patient with a preexisting unrecognized paralyzed vocal cord on the opposite side. We discuss the incidence of vocal cord paralysis after subclavian perivascular block and the risk of airway compromise if contralateral vocal cord paralysis is known or suspected.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.