The types and severity of complications associated with interscalene brachial plexus block anesthesia: Local and national evidence

Lenters, Tim R.; Davies, Joanna M.; Matsen, Frederick A.

doi:10.1016/j.jse.2006.10.007

Cited by 108 publications

(70 citation statements)

References 45 publications

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“…However, the catheter placement is technically challenging [4], entails a risk of primary or secondary displacement and pump failure, and may provide less complete analgesia [6]. Side effects include hoarseness, dyspnoea, and paraesthesia [4], but serious complications are rare [7].…”

Section: Introductionmentioning

confidence: 99%

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

Bjørnholdt

Jensen

Bendtsen

et al. 2015

Eur J Orthop Surg Traumatol

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Section: Introductionmentioning

confidence: 99%

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

Bjørnholdt

Jensen

Bendtsen

et al. 2015

Eur J Orthop Surg Traumatol

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“…22,23) In this study, no severe or complex side effects related to ISB were noted-except 3 patients (1.4%) of transient paresthesia in the ipsilateral upper arm-since the ISB procedure was conducted under US guid-ance. The success rate of US guided ISB has been reported to be as high as 97.5% to 99.6%, with a prevalence of adverse events to be 2.88%.…”

Section: Discussionmentioning

confidence: 58%

The Efficacy of Additional Intravenous Patient-controlled Analgesia to the Interscalene Block in Arthroscopic Shoulder Surgery: A Prospective Randomized Controlled Study

Shin

Seo²,

Kim

et al. 2017

Clinics in Shoulder and Elbow

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Background: The purpose is to determine the efficacy of additional intravenous patient-controlled analgesia (IV-PCA) by comparing the analgesic effects between interscalene block (ISB) combined with IV-PCA and single ISB after arthroscopic shoulder surgery. Methods: A total of 213 patients who underwent arthroscopic shoulder surgery were divided into two groups based on the type of perioperative anesthesia. The single ISB group included 100 patients, while the IV-PCA group included 113 patients. The visual analogue scale for pain (VAS pain) scores were assessed at 12, 24, and 48 hours postoperatively in accordance with shoulder pathology. Postoperative narcotics-related complications and consumption of additional non-steroidal anti-inflammatory drugs between the two groups were compared. Results: VAS pain showed no significant difference between the two groups at most points of the postoperative timeline, regardless of shoulder pathology, except in patients with rotator cuff repair at postoperative 24 hours. Although the IV-PCA group showed a statistically lower VAS pain score than the ISB group at postoperative 24 hours (p=0.04), the difference in the VAS pain score was only 9.0 mm in patients with rotator cuff repair. Narcotics-related complications were observed more frequently in the IV-PCA group than in the ISB group for patients with rotator cuff repair. Conclusions: Additional IV-PCA demonstrated no booster effect for immediate pain control in patients undergoing arthroscopic shoulder surgery with preoperative single ISB. Furthermore, patients with IV-PCA experienced greater narcotics-related complications. (Clin Shoulder Elbow 2017;20(1):10-17)

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“…Although interscalene block is considered to be a safe block, this article clearly demonstrates the significant adverse events that can occur. A significant amount of these events occurred in ASA 1 & 2 patients as well, a group that could potentially could have undergone a general anesthetic relatively safely [88].…”

Section: Complications Of Interscalene Brachial Plexus Blockmentioning

confidence: 99%

“…In the setting of unexpected complications, a secured airway is usually already in place. In inadequately trained hands, there can be higher incidence of surgical delay and complications secondary to regional [88]. There is also an exaggerated fear amongst patients of nerve damage secondary to the regional anesthetic.…”

Section: Regional Vs Generalmentioning

confidence: 99%

Anesthesia for Shoulder Surgery: A Review of the Interscalene Block and a Discussion of Regional vs. General Anesthesia

Ghaleb¹,

Dilley²

2012

TOATJ

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A review of the literature regarding anesthesia for shoulder surgery was performed. Current anesthetic techniques available include regional, general, or a combination of regional and general. We discuss each of these techniques, with an emphasis on regional (specifically interscalene block), in detail. Current evidence supports both regional and general anesthesia to be safe and efficient techniques. The interscalene block is considered by most to provide the best surgical anesthesia and is the most commonly performed block for shoulder surgery. This paper aims to review the performance of the interscalene block and to discuss alternative choices for shoulder surgery, namely general anesthesia and a combined general/regional technique. We also aim to provide considerations to aid in the performance of a safely administered anesthetic.

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The types and severity of complications associated with interscalene brachial plexus block anesthesia: Local and national evidence

Cited by 108 publications

References 45 publications

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

The Efficacy of Additional Intravenous Patient-controlled Analgesia to the Interscalene Block in Arthroscopic Shoulder Surgery: A Prospective Randomized Controlled Study

Anesthesia for Shoulder Surgery: A Review of the Interscalene Block and a Discussion of Regional vs. General Anesthesia

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