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[Parascalene block for shoulder arthroscopic surgery].

L Call Reig¹, J de Vicente Sole, E Estany Raluy

¹Clínica Sagrada Faimilia, Barcelona.

Revista Espanola De Anestesiologia Y Reanimacion

|June 25, 2004

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The parascalene block is an effective anesthesia for shoulder arthroscopy, providing excellent pain relief post-surgery. This brachial plexus block technique ensures patient and surgeon satisfaction with minimal complications.

Area of Science:

Anesthesiology
Orthopedic Surgery

Background:

Shoulder arthroscopy requires effective anesthesia and postoperative pain management.
Brachial plexus blocks are a common regional anesthesia technique.

Purpose of the Study:

To assess the efficacy of the parascalene approach for brachial plexus blockade.
To evaluate its suitability as the sole anesthetic for shoulder arthroscopy.
To determine its effectiveness for postoperative analgesia.

Main Methods:

151 patients (ASA I-III) underwent parascalene brachial plexus block using nerve stimulation.
The technique involved needle insertion 3 cm above the clavicle, lateral to the sternocleidomastoid muscle.
Outcomes measured included block success, side effects, clinical course, and satisfaction.

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Main Results:

Successful blockade was achieved in all patients, with 13% requiring a second puncture.
Complications were rare, transient, and mild (e.g., Horner's syndrome, dysphonia, diaphragmatic paresis).
Postoperative pain was minimal, with 91.2% managed by diclofenac alone.

Conclusions:

The parascalene brachial plexus block is a highly effective anesthetic method for arthroscopic shoulder surgery.
It provides excellent postoperative pain control and high patient/surgeon satisfaction.
The technique is safe, with a low incidence of mild, transient side effects.