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Interscalene block anesthesia for shoulder surgery.

R A Conn, R H Cofield, D E Byer

    Clinical Orthopaedics and Related Research
    |March 1, 1987
    PubMed
    Summary
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    Interscalene brachial and cervical plexus block anesthesia is effective for major shoulder surgery, with 82% success. This technique reduced pain medication needs and achieved high patient satisfaction.

    Area of Science:

    • Anesthesiology
    • Surgical Procedures

    Background:

    • Major shoulder surgery requires effective anesthesia and pain management.
    • Brachial and cervical plexus blocks are regional anesthesia techniques.

    Purpose of the Study:

    • To evaluate the efficacy and safety of interscalene brachial and cervical plexus block anesthesia for major shoulder surgery.

    Main Methods:

    • One hundred patients undergoing major shoulder surgery received interscalene brachial and cervical plexus block anesthesia.
    • Anesthesia success, complications, block duration, and patient satisfaction were assessed.

    Main Results:

    • Successful anesthesia was achieved in 82% of patients.
    • Complications included loss of consciousness, respiratory depression, and seizure in a small number of patients.

    Related Experiment Videos

  • The block provided a mean duration of eight hours, reducing postoperative analgesic needs, with 91% patient satisfaction.
  • Conclusions:

    • Interscalene brachial and cervical plexus block anesthesia is a viable and satisfactory option for major shoulder surgery.
    • The technique demonstrates a favorable safety profile with manageable complications.
    • Effective regional anesthesia can decrease reliance on postoperative pain medications.