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[Interscalene plexus block. Anatomic requirements--anesthesiologic and operative aspects]
G Meier1, C Bauereis, H Maurer
1Abteilung für Anästhesie und Schmerztherapie, Rheumazentrum Oberammergau, Waldburg-Zeil-Kliniken, Hubertusstrasse 40, 82487 Oberammergau. gmeier@wz-kliniken.de
Der Anaesthesist
|June 22, 2001
Summary
The interscalene brachial plexus block is crucial for shoulder surgery anesthesia and pain relief. Proper technique, patient positioning, and counseling are key for successful outcomes and patient satisfaction.
Area of Science:
- Anesthesiology
- Surgical Procedures
- Pain Management
Context:
- Interscalene brachial plexus block is a standard technique for shoulder surgery.
- Requires detailed anatomical knowledge and precise surgical site assessment.
- Catheter placement enhances prolonged analgesia.
Purpose:
- To provide essential guidance for performing interscalene brachial plexus blocks.
- To emphasize critical factors for successful anesthesia and analgesia in shoulder surgery.
- To highlight the importance of patient positioning and preoperative counseling.
Summary:
- Successful interscalene brachial plexus block relies on anatomical understanding, correct indication assessment, and surgeon collaboration.
- Practical tips focus on patient positioning to prevent nerve damage, aiding less experienced practitioners.
- Preoperative discussion of side effects improves patient acceptance and satisfaction.
Impact:
- Enhances the safety and efficacy of brachial plexus blocks in shoulder surgery.
- Aims to reduce iatrogenic neural complications through improved technique and positioning.
- Contributes to better patient outcomes and satisfaction in the perioperative period.