Weakness of contralateral upper limb after interscalene bloc
Interscalene block (ISB) is a frequently used regional technique for shoulder surgery, and interscalene catheter helps achieve extended pain relief in the postoperative period.

Published in the Indian Journal of Anesthesiology, the authors present a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia.

He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent spread of local anaesthetic in the cervical epidural space. No serious complication occurred due to timely intervention. The possible pathways of such unwanted epidural spread and methods to reduce such complications have been discussed.

Key takeaways:-
- Inadvertent spread of local anaesthetic in the epidural spread can occur and may result in neurological complications.

- These complications can be prevented by lower doses of anaesthetic drug and keeping needle and catheter tips in a safe distance from nerve roots while performing ISB.

- Early recognition by continuous monitoring and prompt management is necessary to avoid serious consequences.

Read about the case in detail here: https://pxmd.co/w4Taj