Journal ArticleDOI
Comparison of Anterior Suprascapular, Supraclavicular, and Interscalene Nerve Block Approaches for Major Outpatient Arthroscopic Shoulder Surgery: A Randomized, Double-blind, Noninferiority Trial.
David B. Auyong,Neil A. Hanson,Raymond S. Joseph,Brian E. Schmidt,April Slee,Stanley C. Yuan +5 more
TLDR
The anterior suprascapular block, but not the supraclavicular, provides noninferior analgesia compared to the interscalene approach for major arthroscopic shoulder surgery.Abstract:
Background:The interscalene nerve block provides analgesia for shoulder surgery, but is associated with diaphragm paralysis. One solution may be performing brachial plexus blocks more distally. This noninferiority study evaluated analgesia for blocks at the supraclavicular and anterior suprascapularread more
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Journal ArticleDOI
Superior Trunk Block: A Phrenic-sparing Alternative to the Interscalene Block: A Randomized Controlled Trial.
David H. Kim,Yi Lin,Jonathan C. Beathe,Jiabin Liu,Joseph A. Oxendine,Stephen C. Haskins,Michael C. Ho,Douglas S Wetmore,Answorth A. Allen,Lauren A. Wilson,Christopher Garnett,Stavros G. Memtsoudis +11 more
TL;DR: The superior trunk block may be considered an alternative to traditional interscalene block for shoulder surgery and provide noninferior surgical anesthesia and analgesia while sparing the phrenic nerve.
Journal ArticleDOI
Superior Trunk Block Provides Noninferior Analgesia Compared with Interscalene Brachial Plexus Block in Arthroscopic Shoulder Surgery.
RyungA Kang,Ji Seon Jeong,Ki Jinn Chin,Jae Chul Yoo,Jong-Hwan Lee,Soo Joo Choi,Mi Sook Gwak,Tae Soo Hahm,Justin Sangwook Ko +8 more
TL;DR: The superior trunk block provided noninferior postoperative analgesia compared with interscalene brachial plexus block for up to 24 h after arthroscopic shoulder surgery and resulted in significantly less hemidiaphragmatic paresis.
Journal ArticleDOI
PROSPECT guideline for rotator cuff repair surgery: systematic review and procedure‐specific postoperative pain management recommendations
TL;DR: The analgesic regimen for rotator cuff repair should include an arthroscopic approach, paracetamol, non‐steroidal anti‐inflammatory drugs, dexamethasone and a regional analgesic technique (either interscalene block or suprascapular nerve block with or without axillary nerve block), with opioids as rescue analgesics.
Journal ArticleDOI
Diaphragm-sparing nerve blocks for shoulder surgery, revisited
De Q.H. Tran,Sebastián Layera,Daniela Bravo,Iver Cristi-Sánchez,Loreley Bermúdez,Julián Aliste +5 more
TL;DR: The cumulative evidence suggests that costoclavicular blocks may provide similar postoperative analgesia to ISB coupled with a 0%-incidence of HDP, but in light of the small number of patients recruited by the single study investigating costoc Lavicular blocks, further confirmatory trials are required.
Journal ArticleDOI
Subomohyoid Anterior Suprascapular Block versus Interscalene Block for Arthroscopic Shoulder Surgery: A Multicenter Randomized Trial
Faraj W. Abdallah,Duminda N. Wijeysundera,Andreas Laupacis,Richard Brull,Aaron Mocon,Nasir Hussain,Kevin E. Thorpe,Vincent W. S. Chan +7 more
TL;DR: It is suggested that the suprascapular block consistently blocks the superior trunk and qualify it as an effective interscalene block alternative and when differences in other analgesic outcomes existed, they were not clinically important.
References
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Journal ArticleDOI
Clinical Significance of Reported Changes in Pain Severity
TL;DR: The minimum clinically significant change in patient pain severity measured with a 100-mm visual analog scale was 13 mm, and studies of pain experience that report less than a 13-mm change in pain severity, although statistically significant, may have no clinical importance.
Journal ArticleDOI
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Does the Clinically Significant Difference in Visual Analog Scale Pain Scores Vary with Gender, Age, or Cause of Pain?
TL;DR: No significant difference in minimum significant VAS scores was found between gender, age, and cause-of-pain groups, and differences of less than this amount are unlikely to be of clinical significance.
Journal ArticleDOI
National Trends in Rotator Cuff Repair
TL;DR: The increase in national rates of rotator cuff repair over the last decade has been dramatic, particularly for arthroscopic assisted repair.
Journal ArticleDOI
One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography.
TL;DR: Diaphragmatic paresis appears to be an inevitable consequence of interscalene brachial plexus block when providing anesthesia sufficient for shoulder surgery, as it is a practical, sensitive, and low-risk method for diagnosing hemidiaphragm function without radiation exposure.