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Pitfalls in regional anesthesia for shoulder surgery


Department of Anesthesia and Orthopaedic Surgery, University of Iowa, Iowa City, Iowa, USA

Correspondence Address:
Andre P Boezaart
Professor of Anesthesiology and Orthopaedic Surgery, University of Iowa, 200 Hawkins Drive, 6-JCP Iowa City, IA, 52242
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.30676

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Year : 2007  |  Volume : 1  |  Issue : 1  |  Page : 30-38

 

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Surgeons are often reluctant to support regional anesthesia for shoulder surgery and other orthopaedic surgery. This is because the sometimes true, but usually perceived "slowing down" of operating room turnover times, and the perceived potential for added morbidity. The former (time issue) can only be solved by proper management, while the potential for added morbidity can be minimized by doing appropriate blocks for appropriate surgery at the correct times, when really indicated, with the correct equipment and techniques, and avoiding situations that are prone to causing morbidity. This article discusses in detail when it is appropriate to do blocks for shoulder surgery, but more important, when is it not appropriate to do blocks, and how to carefully calculate a risk-benefit ratio and avoid added morbidity.






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Department of Anesthesia and Orthopaedic Surgery, University of Iowa, Iowa City, Iowa, USA

Correspondence Address:
Andre P Boezaart
Professor of Anesthesiology and Orthopaedic Surgery, University of Iowa, 200 Hawkins Drive, 6-JCP Iowa City, IA, 52242
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.30676

Rights and Permissions

Surgeons are often reluctant to support regional anesthesia for shoulder surgery and other orthopaedic surgery. This is because the sometimes true, but usually perceived "slowing down" of operating room turnover times, and the perceived potential for added morbidity. The former (time issue) can only be solved by proper management, while the potential for added morbidity can be minimized by doing appropriate blocks for appropriate surgery at the correct times, when really indicated, with the correct equipment and techniques, and avoiding situations that are prone to causing morbidity. This article discusses in detail when it is appropriate to do blocks for shoulder surgery, but more important, when is it not appropriate to do blocks, and how to carefully calculate a risk-benefit ratio and avoid added morbidity.






[FULL TEXT] [PDF]*


        
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