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New trends in regional anesthesia for shoulder surgery: Avoiding devastating complications


1 Department of Anesthesiology and Orthopaedic Surgery & Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA
2 Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA

Correspondence Address:
André P Boezaart
Professor of Anesthesiology and Orthopaedic Surgery, University of Florida College of Medicine, P. O. Box 100254, Gainesville, FL 32610-0254
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.68410

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Year : 2010  |  Volume : 4  |  Issue : 1  |  Page : 1-7

 

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Surgeons and patients are often reluctant to support regional anesthesia (RA) for shoulder and other orthopedic surgeries. This is because of the sometimes true but usually incorrectly perceived "slowing down" of operating room turnover time and the perceived potential for added morbidity. Recently, severe devastating and permanent nerve injury complications have surfaced, and this article attempts to clarify the modern place of RA for shoulder surgery and the prevention of these complications. A philosophical approach to anesthesiology and regional anesthesiology is offered, while a fresh appreciation for the well-described and often forgotten microanatomy of the brachial plexus is revisited to explain and avoid some of the devastating complications of RA for shoulder surgery.






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1 Department of Anesthesiology and Orthopaedic Surgery & Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA
2 Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA

Correspondence Address:
André P Boezaart
Professor of Anesthesiology and Orthopaedic Surgery, University of Florida College of Medicine, P. O. Box 100254, Gainesville, FL 32610-0254
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.68410

Rights and Permissions

Surgeons and patients are often reluctant to support regional anesthesia (RA) for shoulder and other orthopedic surgeries. This is because of the sometimes true but usually incorrectly perceived "slowing down" of operating room turnover time and the perceived potential for added morbidity. Recently, severe devastating and permanent nerve injury complications have surfaced, and this article attempts to clarify the modern place of RA for shoulder surgery and the prevention of these complications. A philosophical approach to anesthesiology and regional anesthesiology is offered, while a fresh appreciation for the well-described and often forgotten microanatomy of the brachial plexus is revisited to explain and avoid some of the devastating complications of RA for shoulder surgery.






[FULL TEXT] [PDF]*


        
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