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Mini Review Volume 7 Issue 2
Comparison between General Anaesthesia and Interscalen Block in Shoulder Surgery
Athanasios Alexandris,
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Vaios Goulas, Nikos Tasios, Panagiotis Tsasiotis, Georgios Varsanis, Xristos Alexandropoulos, Maria Sfakiotaki
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Orthopaedic Department of General Hospital Greece, Greece
Correspondence: Athanasios Alexandris, Department of Orthopedics, General Hospital of Trikala, Karditsis 1 Trikala 42100 Greece, Tel 00306947445950
Received: February 16, 2017 | Published: February 20, 2017
Citation: Alexandris A, Goulas V, Tasios N, Tsasiotis P, Varsanis G, et al. (2017) Comparison between General Anaesthesia and Interscalen Block in Shoulder Surgery. J Anesth Crit Care Open Access 7(2): 00258. DOI: 10.15406/jaccoa.2017.07.00258
Abstract
In 1970, Winnie proposed the brachial plexus block as an alternative and effective anaesthesia technique for shoulder surgery.1 Surgeons and patients are often reluctant to support regional anesthesia (RA) for shoulder and other orthopedic surgeries.2 The aim of this study is to evaluate and compare the results between general anaesthesia and interscalen block in patients who underwent shoulder surgery.
Purpose
The aim of this study is to evaluate and compare the results between general anaesthesia and interscalen block in patients who underwent shoulder surgery.
Methods
- 36 patients (September 2013 - November 2015).
- 24 males, 12 females.
- Main age 56 years old.
- Shoulder pathology included fractures, rotator cuff tears, subacromial decompression.
- 14 patients received general anaesthesia.
- 22 patients underwent a interscalen block as method for anaesthesia.
- For the block all the patients received 20 ml Naropeine 7.5% and 10 ml NaCl 0.9%.3-7
Results
- 2 of 22 patients received, during the beginning of surgery, general anaesthesia because of pain.
- There were no other complications, regarding the anaesthesia, during the surgery.
- The postoperative analgesia was 8 hours in average for the patients who underwent interscalen block.
- None of the patients who underwent interscalen block received postoperatively any strong analgetics.
- In addition for the patients who received general anaesthesia the first dose of analgetics was in average 2.5 hours after surgery.
Conclusion
We believe that the use of interscalen block is a safe and secure method of anaesthesia for the shoulder surgery with excellent analgetics results.
Acknowledgments
None.
Conflicts of interest
None.
Funding
None.
References
- Winnie AP. Interscalene brachial plexus block. Anesth Analg. 1970;49(3):455–466.
- Brown AR, Weiss R, Greenberg C, et al. Interscalene block for shoulder arthroscopy: comparison wih general anaesthesia. Arthroscopy. 1993;9(3):295–300.
- Brown Anthony R.Regional anaesthesia for shoulder surgery. Techniques in Regional Anaesthesia and Pain Management. 1999;3(2):64–78.
- Borgeat A, Ekatodramis G. Anaesthesia for shoulder surgery. Best Pract Res Clin Anaesthesiol. 2002;16(2):211–225.
- Urmey WF, Grossi P. Percutaneous electrode guidance: a noninvasive technique for prelocation of peripheral nerves to facilitate peripheral plexus or nerve block. Reg Anesth Pain Med. 2002;27(3):261–267.
- Conroy PH, Awad IT. Ultrasound–guided blocks for shoulder surgery. Curr Opin Anaesthesiol. 2011;24(6):638–643.
- Price DJ. Axillary (circumflex) nerve block used in association with suprascapular nerve block for the control of pain following total shoulder joint replacement. Reg Anesth Pain Med. 2020;33(3):280–281.
©2017 Alexandris, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.