Telecom consolidation is driven largely by the need for scale efficiencies, made more urgent as telecom players increasingly compete on price. Size and scale give telecom companies a larger geographic coverage plus expanded offerings, which can serve to hedge against a downturn in any specific service segment.
A neck injury may cause damage to the phrenic nerve. Symptoms of a phrenic nerve injury may include difficulty breathing. A pacemaker may be surgically implanted into an individual that has difficulty breathing due to phrenic nerve damage. Physical trauma is the most common cause of damage to phrenic nerves.
1 In PACU reassess the pain level and score. 2  Look for any evidence of neck hematoma. 3  Assess respiratory function: unilateral phrenic nerve paralysis (temporary) is common with interscalene block and may cause respiratory distress in patients with significant pulmonary compromise. Shortness of breath, chest pain, cough, or hypoxemia can indicate the presence of pneumothorax or can also be symptoms of phrenic paralysis.