Ultrasound-Guided Interscalene Block Anesthesia for Shoulder Arthroscopy

Abstract

The present study supports the use of ultrasound-guided interscalene block by trained anesthesiologists for well-screened patients undergoing shoulder arthroscopy, given the high rate of patient satisfaction and the low rate of adverse events.

Comparison of Ultrasound-Guided Supraclavicular, Infraclavicular and Below-C6 Interscalene Brachial Plexus Block for Upper Limb Surgery: A Randomised, Observer-Blinded Study

“…Interscalene brachial plexus block is an effective technique to provide intraoperative analgesia and postsurgical pain relief after shoulder surgery [11][12][13] . Though the US-guided interscalene brachial plexus is quite popular for the management of upper extremity injuries by emergency physicians 14 , the traditional technique of US-guided interscalene approach does not provide effective anaesthesia of the distal extremity and may affect the phrenic nerve, leading to temporary paralysis of the ipsilateral hemidiaphragm 15 .…”

Does the Serratus Plane Block Added to the Interscalene Block Improve the Quality of Anesthesia in Arthroscopic Shoulder Surgery? A Prospective Randomized Study

“…The ISBPB ensures the blocking of all motor nerves and most sensory nerves of the shoulder muscles providing excellent postoperative analgesia, which in turn can also provide surgical anesthesia combined with sedation [6]. Subsequently, the risks associated with general anesthesia can be avoided, especially in shoulder arthroplasty operations performed in the beach-chair position.…”

“…ISBPB provides excellent postoperative analgesia when given in combination with general anesthesia in shoulder arthroplasty. Furthermore, it can be used in surgical anesthesia together with sedation [6]. However, as the posterolateral branch of the shoulder also receives a sensory branch from the thoracic nerves, an arthroscopy port entry in this region in the arthroscopic surgery may cause pain to the patient.…”

Daring discourse: is nerve block with sedation the safest anesthetic for beach chair position?

“…The pattern and timing of this stroke were consistent with an embolic etiology (rather than due to global or regional hypoperfusion during surgery). In a prospective evaluation of over 1300 patients who experienced arthroscopic shoulder surgery with interscalene block and GA (with spontaneous ventilation),32 none of them showed evidence of acute CNS insult.…”