Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function
Joint Authors
Steinfeldt, Thorsten
Wiesmann, Thomas
Zoremba, Martin
Kratz, Thomas
Dette, Frank
Wulf, H.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-29
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
After shoulder surgery performed in patients with interscalene nerve block (without general anesthesia), fast track capability and postoperative pain management in the PACU are improved compared with general anesthesia alone.
However, it is not known if these evidence-based benefits still exist when the interscalene block is combined with general anesthesia.
Methods.
We retrospectively analyzed a prospective cohort data set of 159 patients undergoing shoulder arthroscopy with general anesthesia alone ( n = 60 ) or combined with an interscalene nerve block catheter ( n = 99 ) for fast track capability time.
Moreover, comparisons were made for VAS scores, analgesic consumption in the PACU, pain management, and lung function measurements.
Results.
The groups did not differ in mean time to fast track capability (22 versus 22 min).
Opioid consumption in PACU was significantly less in the interscalene group, who had significantly better VAS scores during PACU stay.
Patients receiving interscalene blockade had a significantly impaired lung function postoperatively, although this did not affect postoperative recovery and had no impact on PACU times.
Conclusion.
The addition of interscalene block to general anesthesia for shoulder arthroscopy did not enhance fast track capability.
Pain management and VAS scores were improved in the interscalene nerve block group.
American Psychological Association (APA)
Zoremba, Martin& Kratz, Thomas& Dette, Frank& Wulf, H.& Steinfeldt, Thorsten& Wiesmann, Thomas. 2015. Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function. BioMed Research International،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1055076
Modern Language Association (MLA)
Zoremba, Martin…[et al.]. Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function. BioMed Research International No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1055076
American Medical Association (AMA)
Zoremba, Martin& Kratz, Thomas& Dette, Frank& Wulf, H.& Steinfeldt, Thorsten& Wiesmann, Thomas. Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1055076
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055076