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Interscalene block for shoulder surgery in physician-owned community ambulatory surgery centers
Jack M Bert1, Eric Khetia, Douglas A Dubbink
1Summit Orthopedics, St. Paul, Minnesota 55102, USA. bertx001@tc.umn.edu
Purpose:
To retrospectively report on a series of patients who had interscalene block regional anesthesia performed for outpatient open and arthroscopic shoulder surgical procedures in a community-based ambulatory surgery center setting.
Methods:
We reviewed the cases of 1,945 patients who had interscalene block regional anesthesia performed during an 8-year period.
Results:
The complication rate was 0.63%, with all complications occurring in the immediate postoperative period, none of which were permanent.
Conclusions:
With an expert, experienced anesthesia team, the interscalene block can be a safe method (temporary complication rate, 0.63%) of intraoperative anesthesia and perioperative analgesia for outpatient open and arthroscopic shoulder surgery in physician-owned ambulatory surgery centers.
Level Of Evidence:
Level IV, therapeutic case series.