| Scalene regional anesthesia for shoulder surgery in a community setting: an assessment of risk. | |
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MedLine Citation:
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PMID: 12004020 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A retrospective review of shoulder procedures using scalene block anesthesia was performed. METHODS: The records of all 218 patients who had undergone scalene block anesthesia over a three-year period at two facilities were retrospectively reviewed. All blocks were performed with use of a standard blunt-needle technique with the patient awake and with use of preoperative nerve stimulation to localize the brachial plexus. RESULTS: Adjunctive general anesthesia was used for 179 (82%) of the 218 patients. Seventy-two patients (33%) required intravenous pain medication immediately on arrival in the recovery room, and twenty-eight blocks (13%) failed. One grand mal seizure, one episode of cardiovascular collapse, and four episodes of severe respiratory distress were noted. Two patients had temporary neurologic injuries that persisted at six weeks. The mean duration of the block was 9 +/- 4.6 hours. Two hundred (92%) of the 218 patients required parenteral narcotics despite the use of scalene block anesthesia. CONCLUSION: Informed consent discussions regarding scalene block anesthesia should include information on the prevalence of complications and the efficacy of the technique. |
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Authors:
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Stephen C Weber; Ritu Jain |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 84-A ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 2002 May |
Date Detail:
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Created Date: 2002-05-10 Completed Date: 2002-06-10 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: United States |
Other Details:
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Languages: eng Pagination: 775-9 Citation Subset: AIM; IM |
Affiliation:
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Sacramento Knee and Sports Medicine and Sutter General Hospital, Sacramento, California 95816, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Anesthesia, Conduction / adverse effects* Anesthetics, Local / adverse effects* Bone Diseases / physiopathology, surgery* Female Hospitals, Community* Humans Male Middle Aged Nerve Block / adverse effects* Pain Measurement Postoperative Complications* Recovery of Function / drug effects, physiology Retrospective Studies Risk Assessment Shoulder Joint / injuries*, physiopathology, surgery* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local |
| Comments/Corrections | |
Comment In:
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J Bone Joint Surg Am. 2002 Oct;84-A(10):1891; author reply 1892-3
[PMID:
12377926
]
J Bone Joint Surg Am. 2002 Oct;84-A(10):1891-2; author reply 1892-3 [PMID: 12385286 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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