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Respiratory failure after tracheal extubation secondary to phrenic nerve blockade and acute right hemidiaphragmatic paresis following supraclavicular brachial plexus anaesthesia

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A man in his 70s with Parkinson's disease underwent urgent below-elbow amputation for gangrenous sepsis. A right supraclavicular brachial plexus catheter was placed for postoperative analgesia. Shortly after tracheal extubation, he developed acute hypercapnic... ...