Suprascapular nerve block in the management of cancer pain

Meyer-Witting, M.; Jm, Foster

doi:10.1111/j.1365-2044.1992.tb02348.x

Cited by 38 publications

(5 citation statements)

References 3 publications

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“…Interscalene brachial plexus block is a commonly used anesthetic [12]. However, substantial complications can be associated with its use such as peripheral neurologic injuries, central nervous system complications, respiratory complications, and cardiovascular complications [15]. These side effects and complications are based upon the anatomy of the brachial plexus at this level [11].…”

Section: Discussionmentioning

confidence: 99%

Suprascapular nerve block as a method of preemptive pain control in shoulder surgery

Jerosch

Saad

Greig

et al. 2008

Knee Surg Sports Traumatol Arthr

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The purpose of the study was to evaluate the effect of suprascapular nerve block (SSNB) in shoulder surgery. The study group consisted of 260 patients, which were subjected to shoulder operations. The patients were divided into two equal groups: group I with nerve block compared to a control group II without a nerve block. The mean age of the patients in group I was 56.2 +/- 6.86 years and that in group II was 54.5 +/- 7.06 years. The female to male ratio was 71:59 in group I and was 69:61 in group II. Surgical procedures were arthroscopic rotator cuff repair, arthroscopic subacromial decompression, arthroscopic acromioclavicular resection, arthroscopic removal of calcific tendonitis, arthroscopic reconstruction of instability, arthroscopic capsular release and shoulder replacement. In all cases the pain was documented by the visual analogue scale (VAS) preoperative, at the first, the second as well as at the third day after surgery. In order to evaluate the amount of fluid, which is needed for infiltration of the area of the supraspinatus fossa, we injected different amount of local anesthetic in combination with contrast dye in five patients. In this study to document the fluid distribution, after injecting with different milliliters, 10 ml is proved to be more than enough to have sufficient local anesthetic to block the SSN. Pre-operatively the mean VAS was comparable between both groups. We documented a significant difference in favour of SSNB from day 1 to day 3 after surgery. No specific complications due to this nerve block procedure were found in any patient post-operatively.

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Section: Discussionmentioning

confidence: 99%

Suprascapular nerve block as a method of preemptive pain control in shoulder surgery

Jerosch

Saad

Greig

et al. 2008

Knee Surg Sports Traumatol Arthr

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“…2,35,40 The superficial landmarks described in the posterior approach techniques serve to guide the needle to slide into the notch. As discussed in the anatomy section, the notch is not a defined structure in 15% of the population.…”

Section: Approachesmentioning

confidence: 99%

Suprascapular Nerve Block

Chan

Peng

2011

Regional Anesthesia and Pain Medicine

133

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Suprascapular nerve blockade (SSNB) is a simple and safe technique for providing relief from various types of shoulder pain, including rheumatologic disorders, cancer, and trauma pain, and postoperative pain due to shoulder arthroscopy. Posterior, superior, and anterior approaches may be used, the most common being the posterior. Recently, an ultrasound-guided approach has been described. In this review, the basic anatomy of the suprascapular nerve will be described. The different techniques of SSNB and indications for SSNB will be discussed. The complications of SSNB and outcomes of SSNB on the management of acute and chronic shoulder pain will be reviewed.

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“…Suprascapular nerve blocks (SSNBs) have been used in the management of a variety of painful shoulder pathologies, by use of several techniques. 4,7,9,11,14,19,20,23,28,29 The purpose of this study was to assess the efficacy of pulsed radiofrequency (PRF) applied to the suprascapular nerve, as opposed to continuous radiofrequency (CRF) ablation, in medically unfit, symptomatic, end-stage rotator cuff arthropathy patients by use of validated shoulder scoring systems as measures of outcome.…”

mentioning

confidence: 99%