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[Continuous parascalene block for shoulder surgery]
E Monzó1, C Baeza, M L Sánchez
1Servicio de Anestesiología y Reanimación, Centro de Traumatología y Rehabilitación FREMAP, Majadahonda, Madrid.
Revista Espanola De Anestesiologia Y Reanimacion
|December 16, 1998
Summary
The parascalene brachial plexus block is an effective and safe technique for shoulder surgery anesthesia and pain management. This method offers excellent conditions for surgery and aids in early patient rehabilitation.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Surgical Procedures
Background:
- Shoulder surgery requires effective anesthesia and postoperative pain management.
- Brachial plexus blocks are commonly used for shoulder procedures.
- The parascalene approach offers an alternative for brachial plexus blockade.
Purpose of the Study:
- To evaluate the efficacy of the parascalene brachial plexus block for shoulder surgery.
- To assess the incidence of side effects associated with this block.
- To determine its utility for postoperative analgesia.
Main Methods:
- A prospective study of 186 patients undergoing open or arthroscopic shoulder surgery.
- Utilized the parascalene approach for brachial plexus blockade with mepivacaine for anesthesia.
- Administered bupivacaine for postoperative analgesia, with different delivery methods for open vs. arthroscopic surgery groups.
Main Results:
- The block was effective in 83.33% of patients.
- Adequate postoperative analgesia was achieved in 84.40% of open surgery patients and 97.82% of arthroscopic surgery patients.
- Complications were transient and minor, with no pneumothorax or vascular puncture.
Conclusions:
- The parascalene approach is a safe and effective method for shoulder surgery anesthesia.
- It provides excellent anesthetic conditions and is suitable for ambulatory pain management.
- Facilitates early rehabilitation after shoulder operations.