Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned

Pneumothorax is a rare but potentially serious iatrogenic complication of intercostal nerve block. This case report emphasizes the importance of imaging guidance and careful patient assessment to mitigate complications in high-risk individuals undergoing intercostal nerve block. An elderly male with...

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Main Authors: Rhythm Mathur, Bharat Paliwal, Manoj Kamal, Pradeep Kumar Bhatia
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Pain
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpn.ijpn_64_24
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author Rhythm Mathur
Bharat Paliwal
Manoj Kamal
Pradeep Kumar Bhatia
author_facet Rhythm Mathur
Bharat Paliwal
Manoj Kamal
Pradeep Kumar Bhatia
author_sort Rhythm Mathur
collection DOAJ
description Pneumothorax is a rare but potentially serious iatrogenic complication of intercostal nerve block. This case report emphasizes the importance of imaging guidance and careful patient assessment to mitigate complications in high-risk individuals undergoing intercostal nerve block. An elderly male with chronic obstructive pulmonary disease and undergoing chemotherapy for mediastinal metastasis of small-cell liver carcinoma developed severe postherpetic neuralgia resistant to pharmacological therapy. An ultrasound-guided intercostal nerve block was performed which resulted in a pneumothorax, subsequently managed with an intercostal drain.
format Article
id doaj-art-201ba7f20e95460c88a70bf90ac89b26
institution DOAJ
issn 0970-5333
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language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Pain
spelling doaj-art-201ba7f20e95460c88a70bf90ac89b262025-08-20T02:45:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332321-78202024-12-0138320520610.4103/ijpn.ijpn_64_24Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons LearnedRhythm MathurBharat PaliwalManoj KamalPradeep Kumar BhatiaPneumothorax is a rare but potentially serious iatrogenic complication of intercostal nerve block. This case report emphasizes the importance of imaging guidance and careful patient assessment to mitigate complications in high-risk individuals undergoing intercostal nerve block. An elderly male with chronic obstructive pulmonary disease and undergoing chemotherapy for mediastinal metastasis of small-cell liver carcinoma developed severe postherpetic neuralgia resistant to pharmacological therapy. An ultrasound-guided intercostal nerve block was performed which resulted in a pneumothorax, subsequently managed with an intercostal drain.https://journals.lww.com/10.4103/ijpn.ijpn_64_24chronic obstructive pulmonary diseaseintercostal nerve blockpneumothoraxpostherpetic neuralgia
spellingShingle Rhythm Mathur
Bharat Paliwal
Manoj Kamal
Pradeep Kumar Bhatia
Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned
Indian Journal of Pain
chronic obstructive pulmonary disease
intercostal nerve block
pneumothorax
postherpetic neuralgia
title Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned
title_full Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned
title_fullStr Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned
title_full_unstemmed Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned
title_short Intercostal Nerve Block in Patient with Chronic Obstructive Pulmonary Disease: Lessons Learned
title_sort intercostal nerve block in patient with chronic obstructive pulmonary disease lessons learned
topic chronic obstructive pulmonary disease
intercostal nerve block
pneumothorax
postherpetic neuralgia
url https://journals.lww.com/10.4103/ijpn.ijpn_64_24
work_keys_str_mv AT rhythmmathur intercostalnerveblockinpatientwithchronicobstructivepulmonarydiseaselessonslearned
AT bharatpaliwal intercostalnerveblockinpatientwithchronicobstructivepulmonarydiseaselessonslearned
AT manojkamal intercostalnerveblockinpatientwithchronicobstructivepulmonarydiseaselessonslearned
AT pradeepkumarbhatia intercostalnerveblockinpatientwithchronicobstructivepulmonarydiseaselessonslearned