Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
نویسندگان
چکیده
منابع مشابه
Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery
Background Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis af...
متن کاملRandomized double-blind comparison of phrenic nerve infiltration and suprascapular nerve block for ipsilateral shoulder pain after thoracic surgery.
OBJECTIVE Despite the use of thoracic epidural analgesia, a constant severe ache occurs in the ipsilateral shoulder of almost 75% of patients after thoracotomy. The aim of this prospective-randomized study was to investigate the effect of phrenic nerve infiltration (PNI) compared with suprascapular nerve block (SNB) on ipsilateral shoulder pain after thoracic surgery. METHODS After Local Rese...
متن کاملThe phrenic nerve infiltration for ipsilateral shoulder pain.
We read with great interest the manuscript by Martinez-Barenys et al. [1] in which they compared phrenic nerve infiltration and suprascapular nerve block for ipsilateral shoulder pain following thoracic surgery. We have used similar technique of infiltration of the periphrenic fat pad in our practice for last 5 years, and we have been able to cut down the use of additional analgesia for the ips...
متن کاملEffects of Interscalene Nerve Block for Postoperative Pain Management in Patients after Shoulder Surgery
OBJECTIVES Shoulder surgery can produce severe postoperative pain and movement limitations. Evidence has shown that regional nerve block is an effective management for postoperative shoulder pain. The purpose of this study was to investigate the postoperative analgesic effect of intravenous patient-controlled analgesia (PCA) combined with interscalene nerve block in comparison to PCA alone afte...
متن کاملMultimodal Pain Management Protocol Versus Patient Controlled Narcotic Analgesia for Postoperative Pain Control after Shoulder Arthroplasty
Background: Our institution’s traditional pain management strategy after shoulder arthroplasty has involved the utilization of postoperative patient-controlled narcotic analgesia. More recently, we have implemented a protocol (TLC) that utilizes a multimodal approach. The purpose of this study was to determine whether this change has improved pain control and decreased narcotic utilization. ...
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ژورنال
عنوان ژورنال: Case Reports in Anesthesiology
سال: 2017
ISSN: 2090-6382,2090-6390
DOI: 10.1155/2017/1294913