A Retrospective Analysis of the Analgesic and Adverse Effects of Interscalene Brachial Plexus Block During Arthroscopic Shoulder Surgery

Q4 Medicine

Anestezi Dergisi Pub Date : 2023-01-30 DOI:10.54875/jarss.2023.71473

G. Emmez, I. Gungor, T. Tezer, U. Kanatlı

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引用次数: 0

Abstract

Objective: Interscalene block (ISB) has become an accepted and effective technique of anesthetic and perioperative analgesia, in arthroscopic shoulder surgery. We aimed to retrospectively evaluate a series of patients who underwent arthroscopic shoulder surgery under combined ISB and general anesthesia. Methods: A retrospective chart review was performed consisting 641 patients who had ISB performed between June 2007 – January 2013 for success rates, side effects and complications. Results: The overall success rate of the blocks was 96.5%, with a mean postoperative analgesia time of 15.5 hours. While no patient suffered permanent nerve injury as a result of ISB, the most common complication noted in this analysis was local anesthetic-related convulsion, which occurred in only one patient. Conclusion: Interscalene block and general anesthesia combination, which provides high patient satisfaction with low side effects and complication profile, can be recommended for patients undergoing arthroscopic shoulder surgery. Keywords: Shoulder, arthroscopy, brachial plexus block, general anesthesia

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肩关节镜手术中斜角肌间臂丛阻滞镇痛及不良反应的回顾性分析

目的：在肩关节镜手术中，肌层间阻滞（ISB）已成为一种公认且有效的麻醉和围手术期镇痛技术。我们的目的是回顾性评估一系列在ISB和全身麻醉下接受关节镜下肩部手术的患者。方法：对2007年6月至2013年1月期间进行ISB的641名患者进行了回顾性图表审查，以了解成功率、副作用和并发症。结果：阻滞总成功率为96.5%，平均术后镇痛时间为15.5小时。虽然没有患者因ISB而遭受永久性神经损伤，但本分析中最常见的并发症是局部麻醉相关的抽搐，仅发生在一名患者身上。结论：关节镜下肩关节手术患者可推荐使用肌间阻滞和全身麻醉相结合，患者满意度高，副作用小，并发症少。关键词：肩关节、关节镜、臂丛神经阻滞、全身麻醉

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来源期刊

Anestezi Dergisi Medicine-Anesthesiology and Pain Medicine

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0.20

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0.00%

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