A New Technique for Regional Anesthesia for Arthroscopic Shoulder Surgery Based on a Suprascapular Nerve Block and an Axillary Nerve Block: An Evaluation of the First Results

Checcucci, Giuseppe; Allegra, Andrea Gaetano; Bigazzi, Prospero; Gianesello, Lara; Ceruso, Massimo; Gritti, G

doi:10.1016/j.arthro.2008.01.019

Cited by 136 publications

(151 citation statements)

References 26 publications

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“…Checcucci et al report that 20 consecutive patients underwent arthroscopic procedures for shoulder cuff diseases were performed combined SSNB and ANB using the identified landmarks; however, general anesthesia was not performed on any patients. 4 According to this study, combined blocks were adequate for intraoperative anesthesia and postoperative analgesia for certain procedures of shoulder arthroscopic surgery. Our VAS results were similar in this study; however, our VAS score was lower.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Although interscalene block (ISB) has been used for intraoperative anesthesia and postoperative pain management, it has serious side effects such as inadvertent epidural and spinal anesthesia, spinal cord injury, brain damage, brachial plexus injury and paralysis of the vagus and laryngeal recurrent nerves as well as cervical sympathetic nerve and pneumothorax. 4 Recently, suprascapular nerve block (SSNB) and axillary nerve block (ANB) are used for intraoperative anesthesia and postoperative pain management in shoulder arthroscopy, especially for rotator cuff repair; however, the procedure is technically challenging and the success rate varies widely. 5 Successful ambulatory surgery depends on analgesia and it is effective and has minimal adverse effects.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of analgesics in patients undergoing arthroscopic repair of rotator cuff at Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat

Kotak¹,

Rudani²

2017

Int J Res Orthop

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Background: To evaluate analgesic efficacy when catheters are positioned with assistance of arthroscope to block suprascapular and axillary nerves in patients undergoing arthroscopic repair of rotator cuff under general anesthesia.Methods: Present study was performed at department of orthopedics, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat. 24 patients who experienced arthroscopic repair of rotator cuff between July 2015 and October 2015 were catheterized to block suprascapular and axillary nerves through shoulder arthroscopy were incorporated in the study. Clinical outcomes were assessed using visual analog scale (VAS) scores preoperatively and at 0 h, 6 h, 12 h, 18 h, 24 h, and postoperative day 2.Results: Preoperative and postoperative 0 h, 6 h, 12 h, 18 h, 24 h, and day 2 mean VAS scores were 6.37±0.91, 0.45±0.39, 0.59±0.40, 0.62±0.39, 0.61±0.42, 0.51±0.35, and 1.54±0.50, respectively. No statistical difference was found among 0 h, 6 h, 12 h, 18 h, and 24 h time points; however, assessment of postoperative day 2 and postoperative 0 h, 6 h, 12 h, 18h and 24 h VAS scores showed statistically significant difference (P <0.05). All patients were discharged at the end of 24 h with no complication. The mean time (in minutes) required for blocking suprascapular nerve and axillar nerve were 14.38±3.21 and 3.75±0.85, respectively. Conclusions: These results confirmed that blocking two nerves with arthroscopic approach was an excellent pain management method in postoperative period. Accordingly, patients could recover rapidly and patients’ satisfaction could be improved.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of analgesics in patients undergoing arthroscopic repair of rotator cuff at Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat

Kotak¹,

Rudani²

2017

Int J Res Orthop

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“…Moreover, the Dangoisse, 20 Checcucci, 11 and Feigl 25 techniques are less likely to result in such complications, as they do not access the scapular notch where the suprascapular nerve enters after passing below the upper transverse ligament, in addition to the fact that the needle insertion position is far from the lung.…”

Section: Feigl 25mentioning

confidence: 99%

“…10 Another SSNB use would be in anesthesiology, regarding locoregional blocks. 5,6,11 Although effi cient regarding its effects, several authors have shown technical modifi cations to the original SSNB since it was fi rst published, such as the needle insertion site, drug volume, and type and access used, as well as the use of additional equipment to perform the procedure.…”

Section: Introductionmentioning

confidence: 99%

Bloqueio do nervo supraescapular: procedimento importante na prática clínica. Parte II

Fernandes¹,

Barbosa²,

Sousa³

et al. 2012

Rev. Bras. Reumatol.

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The suprascapular nerve block is a reproducible, reliable, and extremely effective treatment method in shoulder pain control. This method has been widely used by professionals in clinical practice such as rheumatologists, orthopedists, neurologists, and pain specialists in the treatment of chronic diseases such as irreparable rotator cuff injury, rheumatoid arthritis, stroke sequelae, and adhesive capsulitis, which justifi es the present review (Part II). The objective of this study was to describe the techniques and complications of the procedure described in the literature, as the fi rst part reported the clinical indications, drugs, and volumes used in single or multiple procedures. We present in details the accesses used in the procedure: direct and indirect, anterior and posterior, lateral and medial, upper and lower. There are several options to perform suprascapular nerve block. Although rare, complications can occur. When properly indicated, this method should be considered.

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“…The interscalene and supraclavicular approaches to the brachial plexus (above the clavicle or proximal), have proven effective and safe for anesthesia and post-operative analgesia in arthroscopic shoulder surgery. Recently, a new safe and effective approach to arthroscopic shoulder surgery was advocated, blocking the suprascapular nerve and axillary nerve, although this is a preliminary study (15). The parascalene approach is also thought to offer safe and effective anesthesia for these procedures, as well as a unique benefits in the treatment of acute postoperative pain (16).…”

Section: Advantages Disadvantagesmentioning

confidence: 99%

Anesthesia for Arthroscopic Shoulder Surgery

Benítez¹,

Torres²

2011

Modern Arthroscopy

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A New Technique for Regional Anesthesia for Arthroscopic Shoulder Surgery Based on a Suprascapular Nerve Block and an Axillary Nerve Block: An Evaluation of the First Results

Cited by 136 publications

References 26 publications

Efficacy of analgesics in patients undergoing arthroscopic repair of rotator cuff at Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat

Efficacy of analgesics in patients undergoing arthroscopic repair of rotator cuff at Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat

Bloqueio do nervo supraescapular: procedimento importante na prática clínica. Parte II

Anesthesia for Arthroscopic Shoulder Surgery

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