scholarly journals Ultrasound standard of peripheral nerve block for shoulder arthroscopy: a single-penetration double-injection approach targeting the superior trunk and supraclavicular nerve in the lateral decubitus position

2015 ◽  
Vol 115 (6) ◽  
pp. 932-934 ◽  
Author(s):  
J.-A. Lin ◽  
T.-Y. Chuang ◽  
H.-Y. Yao ◽  
S.-F. Yang ◽  
Y.-T. Tai
Keyword(s):  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Shoulder Arthroscopy ◽  
Lateral Decubitus Position ◽  
Double Injection ◽  
Lateral Decubitus

A Patient with Morbid Obesity and OSA Presenting for Shoulder Arthroscopy

2018 ◽  
pp. 139-144
Author(s):  
Iyabo Muse ◽  
Nii Amon Robertson
Keyword(s):  
Peripheral Nerve ◽  
Nerve Block ◽  
Local Anesthetic ◽  
Peripheral Nerve Block ◽  
Shoulder Arthroscopy ◽  
Total Shoulder Arthroplasty ◽  
Postoperative Nausea And Vomiting ◽  
Pulmonary Complications ◽  
Local Anesthetic Injection ◽  
Plexus Block

Peripheral nerve block is an excellent alternative to general anesthesia for optimal anesthesia and analgesia for shoulder arthroscopy. Interscalene brachial plexus block provides good coverage of the shoulder. Peripheral nerve block can be used as a primary anesthetic for various types of orthopedic surgery such as rotator cuff repair, humerus fracture, and total shoulder arthroplasty. Some of the benefits of using this technique include the decrease in pulmonary complications, surgical bleeding, and postoperative nausea and vomiting. However, there are absolute contraindications to performing a nerve block such as patient refusal and infection at the site of injection. There are also complications of local anesthetic injection that may occur, of which local anesthetic toxicity and neuronal injuries are the most detrimental. Even with the potential for complications, peripheral nerve block is still an excellent technique for use in certain cases in the hands of a skilled and well-trained regional anesthesiologist.

scholarly journals Factors associated with low levels of patient satisfaction following peripheral nerve block

2021 ◽  
pp. 0310057X2097240
Author(s):  
Anthony D Hade ◽  
Satomi Okano ◽  
Anita Pelecanos ◽  
Adrian Chin
Keyword(s):  
Patient Satisfaction ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Moderate Intensity ◽  
Post Anaesthesia Care Unit ◽  
Negatively Associated ◽  
Factors Associated ◽  
Low Levels ◽  
Anaesthesia Care

Peripheral nerve blocks can provide surgical anaesthesia as well as excellent postoperative analgesia. When questioned postoperatively, however, some patients report low levels of satisfaction with their nerve block experience. At our hospital, patients undergoing regional anaesthesia have their patient characteristics, block characteristics and postoperative feedback routinely recorded in a block registry. We analysed data from 979 consecutive patients undergoing peripheral nerve block for orthopaedic surgery to identify factors associated with low levels of patient satisfaction. The primary outcome was patient satisfaction with their peripheral nerve block (scale 1–5: 4–5 is ‘satisfied’, 1–3 is ‘not satisfied’). Eighty-nine percent (871/979) of patients reported being ‘satisfied’ with their block. Factors negatively associated with patient satisfaction were rebound pain (adjusted odds ratio (aOR) 0.19, 95% confidence interval (CI) 0.04 to 0.85 for moderate rebound pain; aOR 0.11, 95% CI 0.03 to 0.48 for severe rebound pain), discomfort during the block (aOR 0.37, 95% CI 0.16 to 0.82 for moderate discomfort; aOR 0.19, 95% CI 0.05 to 0.76 for severe discomfort) and pain in the post-anaesthesia care unit (aOR 0.30, 95% CI 0.17 to 0.55 for pain ≥8/10). Only 24% (26/108) of patients who reported being ‘not satisfied’ stated that they would be unwilling to undergo a hypothetical future nerve block. Rebound pain of at least moderate intensity, procedural discomfort of at least moderate intensity and severe pain in the post-anaesthesia care unit are all negatively associated with patient satisfaction. Of these factors, rebound pain occurs most frequently, being present in 52% (403/777) of our respondents.

Perineural Dexamethasone as a Peripheral Nerve Block Adjuvant in the Emergency Department: A Case Series

2021 ◽  
Vol 61 (5) ◽  
pp. 574-580
Author(s):  
Nicole M. Duggan ◽  
Arun Nagdev ◽  
Bryan D. Hayes ◽  
Hamid Shokoohi ◽  
Lauren A. Selame ◽  
...  
Keyword(s):  
Emergency Department ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Case Series
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