Abstract Background Interscalene brachial plexus block is associated with phrenic nerve paralysis. The objective of this study was to evaluate an alternative approach to interscalene brachial plexus blocks in terms of efficacy, grade of motor and sensory blockade, and phrenic nerve blockade. Methods Th...
Anestésicos Locales,
Artroscopía/métodos,
Bloqueo del Plexo Braquial/métodos,
Plexo Braquial,
Cadáver,
Azul de Metileno,
Dolor,
Dolor Postoperatorio,
Parálisis,
Estudios Prospectivos,
Hombro/inervación,
Ultrasonografía Intervencional/métodos
Abstract Interscalene brachial plexus (ISB) block is considered the analgesic technique of choice for shoulder surgery. However, the hemidiaphragmatic paresis that may occur after the block has led to the search for an alternative to the ISB block. In this case report, the pericapsular nerve group (PENG)...
Introducción: El bloqueo interescalénico se utiliza de forma estandarizada durante la cirugía mayor de hombro, sin embargo, ninguna técnica realizada por encima de la clavícula ha demostrado reducir la tasa de bloqueo del nervio frénico por debajo del 20%. El interés en buscar una...
Abstract Background and objectives: In shoulder arthroscopy, on an outpatient basis, the patient needs a good control of the postoperative pain that can be achieved through regional blocks. Perineural dexamethasone may prolong the effect of these blocks. The aim of this study was to evaluate the effect ...
Analgesia,
Análisis de Varianza,
Anestésicos Locales,
Antiinflamatorios/administración & dosificación,
Artroscopía/efectos adversos,
Artroscopía/métodos,
Bloqueo del Plexo Braquial/métodos,
Dexametasona/administración & dosificación,
Método Doble Ciego,
Levobupivacaína,
Persona de Mediana Edad,
Dimensión del Dolor,
Dolor Postoperatorio/diagnóstico,
Dolor Postoperatorio/tratamiento farmacológico,
Náusea y Vómito Posoperatorios/epidemiología,
Estudios Prospectivos,
Solución Salina/administración & dosificación,
Articulación del Hombro/cirugía,
Factores de Tiempo,
Ultrasonografía Intervencional/métodos,
Vasoconstrictores/administración & dosificación
Abstract Background and objectives: To evaluate the single-injection and triple-injection techniques in infraclavicular blocks with an ultrasound-guided medial approach in terms of block success and the need for supplementary blocks. Methods: This study comprised 139 patients who were scheduled for ele...
OBJECTIVES: We compared the analgesic efficacy of a continuous suprascapular nerve block (C-SSNB) and a single-shot interscalene brachial plexus block (S-ISNB) for postoperative pain management in patients undergoing arthroscopic rotator cuff repair. METHODS: A total of 118 patients undergoing arthrosco...
Leiva , Andrés;
Campos, Ximena;
Mistreta, Daniela;
Atton, Rousmary;
Villegas, Diego;
Guerrero, Marcos;
Campusano, Aldo;
Rajdl, Eduardo;
Fernández, Andrea;
Aliste, Julián.
The continuous interscalene block represents the analgesic standard for shoulder surgery. However, the incidence of hemidiaphragmatic paralysis can reach up to 100% of cases. We hypothesized that more dilute local anesthetics would decrease the phrenic palsy at 24 hours. METHODS: Prospective series of pa...
Abstract Background and objectives: The frequent onset of hemidiaphragmatic paralysis during interscalene block restricts its use in patients with respiratory insufficiency. Supraclavicular block could be a safe and effective alternative. Our primary objective was to assess the incidence of hemidiaphrag...
Analgésicos Opioides/administración & dosificación,
Anestésicos Locales/administración & dosificación,
Bloqueo del Plexo Braquial/efectos adversos,
Bloqueo del Plexo Braquial/métodos,
Estudios de Cohortes,
Incidencia,
Persona de Mediana Edad,
Morfina/administración & dosificación,
Dolor Postoperatorio/epidemiología,
Dolor Postoperatorio/prevención & control,
Estudios Prospectivos,
Parálisis Respiratoria/epidemiología,
Parálisis Respiratoria/etiología,
Ropivacaína/administración & dosificación,
Ultrasonografía Intervencional
Abstract Background and objectives: Costoclavicular brachial plexus block is an anesthesia performed through the infraclavicular route described in the literature as a safe and effective route for upper limb anesthesia distal to the elbow. The following report describes the case of a patient whose tradi...
