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Repeated Measurement of Respiratory Muscle Activity and Ventilation in Mouse Models of Neuromuscular Disease

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Interscalene block for shoulder surgery.

Ambrose Rukewe¹, Imoniche I Adeoye, Umar M Sule

¹Department of Anaesthesia, University College Hospital, Ibadan, Nigeria. ambyrukewe@gmail.com

Annals of African Medicine

|June 22, 2011

Summary

Interscalene brachial plexus block provides effective anesthesia for shoulder surgery, specifically for fracture dislocations. This technique offers a safe alternative to general anesthesia, reducing associated risks.

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Area of Science:

Anesthesiology
Orthopedic Surgery
Musculoskeletal Injury Management

Background:

Fracture dislocation of the shoulder is a common injury from road traffic accidents.
Peripheral nerve blocks offer rapid, prolonged analgesia for pain and surgical management.
Interscalene block is not widely reported as a primary anesthetic for shoulder surgery in our region.

Observation:

A case of open reduction and internal fixation for left humeral surgical neck fracture dislocation was managed.
Interscalene brachial plexus block was performed using a nerve stimulator and a local anesthetic mixture.
The anesthetic involved 40 ml of 0.25% bupivacaine and 1.0% lidocaine with epinephrine.

Findings:

Successful surgical anesthesia was achieved 18 minutes after block placement.
The surgery, lasting 70 minutes, proceeded without any complications.
The interscalene block provided adequate anesthesia for the orthopedic procedure.

Implications:

This case demonstrates the successful use of interscalene block as a primary anesthetic technique for shoulder fracture dislocations.
This approach may serve as a viable alternative to general anesthesia, potentially mitigating its risks.
Further studies could explore the broader application of interscalene blocks in managing shoulder injuries.