Evaluation of Interfascial Plane and Pericapsular Nerve Blocks to the Shoulder Joint: A Preliminary Analysis of Shoulder Anterior Capsular Block

Galluccio, Felice; Pérez, Mario Fajardo; Altınpulluk, Ece Yamak; Hou, Jin-De; Lin, Jui-An

doi:10.1007/s40122-021-00326-0

Cited by 9 publications

(7 citation statements)

References 32 publications

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“…Different from the traditional anatomical localization method, ultrasound-guided nerve block has better effect, faster onset, and longer analgesic time and significantly reduces the incidence of related complications. Therefore, ultrasonic visualization technology has obvious advantages in nerve block anesthesia [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

Jiang

et al. 2022

Contrast Media & Molecular Imaging

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This study aims to ensure the wide application of ultrasound-guided superior brachial plexus block in shoulder surgery, solve the application problem of ultrasound-guided superior brachial plexus block in shoulder surgery, make up for severe postoperative pain after shoulder arthroscopy, and improve the patient's recovery ability. In this paper, 90 patients with shoulder arthroscopy were divided into 3 groups: A, B, and C. In recent years, with the rapid development of medicine, ultrasound-guided brachial plexus upper trunk block has been widely used in shoulder surgery. Shoulder arthroscopy is more and more used in the diagnosis and treatment of shoulder diseases because of its advantages of minimally invasive, safe, and rapid recovery. Compared with the traditional operation, it is found that the shoulder arthroscopic operation reduces the incision trauma through the microscope, but the shoulder operation involves more muscles and ligaments, so the perioperative pain of shoulder arthroscopic operation is still serious.

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Section: Methodsmentioning

confidence: 99%

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

Jiang

et al. 2022

Contrast Media & Molecular Imaging

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“…In order to examine the interfascial gap between the deltoid and subscapularis fasciae, the biceps brachii and coracobrachialis muscles must be displaced while the arm is abducted and rotated externally. When using ultrasound, the lateral insertion of the subscapularis muscle is easier to find because of the mixed echogenicity it generates (34) .…”

Section: Ultrasound Combination Of Interfacial Plane and Pericapsular...mentioning

confidence: 99%

“…The SHAC block is easy to perform due to easily recognizable anatomical structures. Additionally, the technique places the needle in a "safe zone" away from any accidental injury to other structures (34) . Figure (7): SHAC block procedure (34) .HH humeral head , COR coracoid , SSC subscapularis, BB biceps brachii, CBM coracobrachialis , DM deltoid muscle.…”

Section: Ultrasound Combination Of Interfacial Plane and Pericapsular...mentioning

confidence: 99%

Overview about motor Sparing articular nerves Intervention in Chronic Shoulder Pain: Review Article

Othman¹,

El-Tohamy²,

Naji³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Shoulder pain is one of the most often reported musculoskeletal symptoms. Shoulder pain can be caused by a number of different issues, including damage to the rotator cuff, subacromial impingement, osteoarthritis, adhesive capsulitis and pain after surgery, as well as bursitis. Motor-sparing nerve interventions are one of many treatments offered for chronic shoulder pain. Objective: The goal of these interventions was to alleviate shoulder pain by blocking certain nerves without significant motor deficits. Methods: In this review, we conducted a thorough search for relevant literature on the topic of chronic shoulder pain and its management. Our search included medical journals and databases such as PubMed, Google Scholar, and Science Direct, and we limited our inclusion criteria to studies published between 1994 and 2022. Additionally, we reviewed references from related works. To ensure consistency and accuracy, only documents published in English were considered for this review, and unpublished manuscripts, oral presentations, conference abstracts, and dissertations were excluded. Conclusion: Articular nerve interventions that spare motor function have shown great potential in managing chronic shoulder pain. These interventions have a primary goal of improving shoulder function and reducing pain while minimizing the risk of any motor deficit.

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“…However, perfect RA presents a unique challenge to anesthesiologists since the relevant innervation is complicated. No single nerve block technique can cover the entire surgical region ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Is It Useful and Necessary to Add a T2 Paravertebral Block to the Regional Anesthesia During Proximal Humeral Fracture Surgery in Elderly Patients? A Prospective and Randomized Controlled Trial

et al. 2022

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ObjectiveThis study was designed to investigate whether it is useful and necessary to add a T2 level thoracic paravertebral block (TPVB) based on brachial-cervical plexus block to avoid incomplete anesthesia in elderly patients undergoing deltopectoral approach proximal humeral fracture (PHF) surgery.Materials and MethodsThis study involved 80 patients scheduled for PHF surgery who were randomized to receive either IC block (combined interscalene brachial plexus with superficial cervical plexus block) or ICTP block (T2 TPVB supplemented with IC block). The primary outcome was the success rate of regional anesthesia. The patient who experienced incomplete block was administered with intravenous remifentanil for rescue, or conversion to general anesthesia (GA) if remifentanil was still ineffective. Secondary outcomes included requirements of rescue anesthesia, sensory block of the surgical region, the incidence of adverse reactions, and block procedure-related complications.ResultsThe success rate of regional anesthesia in the ICTP group was higher compared with the IC group (77.5 vs. 52.5%, p = 0.019). Intravenous remifentanil was required in 32.5% of patients in the IC group and 17.5% in the ICTP group, respectively. Conversion to GA was performed in 15% of patients in the IC group and 5% in the ICTP group. Sensory block at the medial proximal upper arm was achieved in 85% of patients in the ICTP group, whereas 10% in the IC group (p < 0.001). There was no difference between the groups with respect to the incidence of intraoperative adverse reactions. No block-related complications occurred in either group.ConclusionAdding a T2 TPVB is helpful to decrease, but not absolutely avoid the occurrence of incomplete regional anesthesia during PHF surgery in elderly patients. However, considering the potential risks, it is not an ideal option while a minor dose of remifentanil can provide a satisfactory rescue effect.Clinical Trial RegistrationClinicalTrials.gov, identifier: NCT03919422.

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Evaluation of Interfascial Plane and Pericapsular Nerve Blocks to the Shoulder Joint: A Preliminary Analysis of Shoulder Anterior Capsular Block

Cited by 9 publications

References 32 publications

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

Overview about motor Sparing articular nerves Intervention in Chronic Shoulder Pain: Review Article

Is It Useful and Necessary to Add a T2 Paravertebral Block to the Regional Anesthesia During Proximal Humeral Fracture Surgery in Elderly Patients? A Prospective and Randomized Controlled Trial

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