Interscalene catheters ‐ should we give them the cold shoulder?

Pawa, Amit; Devlin, Aidan Patrick; Kochhar, Anjali

doi:10.1111/anae.13386

Cited by 14 publications

(10 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Second, CISB requires additional time and technical skill for insertion, and more resources for procurement and management. 8 Of concern, potentially serious complications have been associated with the use of CISB, including catheter malposition (1.5%), 9,10 dislodgement (1.5%), 9,11,12 infection (3%), 13 myotoxicity (0.05%), 14 phrenic nerve block (100%), 15,16 and even a potential risk of compression leading to persistent hemi-diaphragmatic palsy. 12,17 Consequently, concerns regarding the safety of CISB has limited its clinical use.…”

mentioning

confidence: 99%

“…18 In fact, there have been calls dissuading anaesthetists who contemplate setting up a CISB service in their centres. 8 Given these issues, the objective of this systematic review and meta-analysis is to evaluate the analgesic benefits and side effects profile of CISB for major shoulder surgery. We hypothesise that CISB provides superior postoperative analgesia by reducing the cumulative analgesic consumption at 24 h postoperatively.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles

Vorobeichik

Brull

Bowry

et al. 2018

British Journal of Anaesthesia

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles

Vorobeichik

Brull

Bowry

et al. 2018

British Journal of Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Similarly, when femoral nerve blocks are used in conjunction with local infiltration analgesia, there are unimpressive effects on acute pain scores or morphine consumption when compared with multi‐modal systemic analgesia alone . The use of femoral nerve catheters may prolong the duration of analgesia, but the practicality of day‐case catheters may limit the generalisability of these techniques .…”

Section: Analgesic Strategiesmentioning

confidence: 99%

Analgesic strategies for day‐case knee surgery

Wojcikiewicz

El‐Boghdadly

2019

Anaesthesia

View full text Add to dashboard Cite

“…The implementation of CPNB in the clinical setting is inconsistent despite superior clinical effects on pain and patient satisfaction . This may be due to the perceived technically demanding and time‐consuming insertion procedure for CPNB.…”

Section: Introductionmentioning

confidence: 99%

Initial placement and secondary displacement of a new suture‐method catheter for sciatic nerve block in healthy volunteers: a randomised, double‐blind pilot study

et al. 2017

View full text Add to dashboard Cite

We performed a randomised double-blind pilot study in 16 healthy volunteers to investigate the success rate for placing a new suture-method catheter for sciatic nerve block. A catheter was inserted into both legs of volunteers and each was randomly allocated to receive 15 ml lidocaine 2% through the catheter in one leg and 15 ml saline in the other leg. Successful placement of the catheter was defined as a 20% decrease in maximum voluntary isometric contraction for dorsiflexion of the ankle. Secondary outcomes were maximum voluntary isometric contraction for plantar flexion at the ankle, surface electromyography and cold sensation. After return of motor and sensory function, volunteers performed standardised physical exercises; injection of the same study medication was repeated in the same leg and followed by motor and sensory assessments. Fifteen of 16 (94%; 95%CI 72-99%) initial catheter placements were successful. The reduction in maximum voluntary isometric contraction and surface electromyography affected the peroneal nerve more often than the tibial nerve. Eleven of 15 (73%; 95%CI 54-96%) catheters remained functional with motor and sensory block after physical exercise, and the maximal displacement was 5 mm. Catheters with secondary block failure were displaced between 6 and 10 mm. One catheter was displaced 1.8 mm that resulted in a decrease in maximum voluntary isometric contraction of less than 20%. After repeat test injection, 14 of the 16 volunteers had loss of cold sensation. Neither motor nor sensory functions were affected in the legs injected with placebo. We conclude that the suture-method catheter can be placed with a high success rate, but that physical exercise may cause displacement.

show abstract

Interscalene catheters ‐ should we give them the cold shoulder?

Cited by 14 publications

References 25 publications

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles

Analgesic strategies for day‐case knee surgery

Initial placement and secondary displacement of a new suture‐method catheter for sciatic nerve block in healthy volunteers: a randomised, double‐blind pilot study

Contact Info

Product

Resources

About