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Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function.
Biomed Res Int. 2015; 2015:325012.BR

Abstract

BACKGROUND

After shoulder surgery performed in patients with interscalene nerve block (without general anesthesia), fast track capability and postoperative pain management in the PACU are improved compared with general anesthesia alone. However, it is not known if these evidence-based benefits still exist when the interscalene block is combined with general anesthesia.

METHODS

We retrospectively analyzed a prospective cohort data set of 159 patients undergoing shoulder arthroscopy with general anesthesia alone (n = 60) or combined with an interscalene nerve block catheter (n = 99) for fast track capability time. Moreover, comparisons were made for VAS scores, analgesic consumption in the PACU, pain management, and lung function measurements.

RESULTS

The groups did not differ in mean time to fast track capability (22 versus 22 min). Opioid consumption in PACU was significantly less in the interscalene group, who had significantly better VAS scores during PACU stay. Patients receiving interscalene blockade had a significantly impaired lung function postoperatively, although this did not affect postoperative recovery and had no impact on PACU times.

CONCLUSION

The addition of interscalene block to general anesthesia for shoulder arthroscopy did not enhance fast track capability. Pain management and VAS scores were improved in the interscalene nerve block group.

Links

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Authors+Show Affiliations

Zoremba M
Department of Anesthesia and Intensive Care Medicine, University Hospital Marburg, 35033 Marburg, Germany.
Kratz T
Department of Anesthesia and Intensive Care Medicine, University Hospital Marburg, 35033 Marburg, Germany ; Department of Anesthesia and Intensive Care Medicine, Clinique Bénigne Joly, 21240 Talant, France.
Dette F
Department of Anesthesiology, University Medical Center of the Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.
Wulf H
Department of Anesthesia and Intensive Care Medicine, University Hospital Marburg, 35033 Marburg, Germany.
Steinfeldt T
Department of Anesthesia and Intensive Care Medicine, University Hospital Marburg, 35033 Marburg, Germany.
Wiesmann T
Department of Anesthesia and Intensive Care Medicine, University Hospital Marburg, 35033 Marburg, Germany.

MeSH

AdultAgedAnalgesicsAnesthesia, GeneralArthroscopyBrachial PlexusFemaleHumansMaleMiddle AgedNerve BlockPain ManagementPain, PostoperativeShoulder

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26064898

Citation

Zoremba, Martin, et al. "Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects On Fast Track Capability, Analgesic Quality, and Lung Function." BioMed Research International, vol. 2015, 2015, p. 325012.
Zoremba M, Kratz T, Dette F, et al. Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function. Biomed Res Int. 2015;2015:325012.
Zoremba, M., Kratz, T., Dette, F., Wulf, H., Steinfeldt, T., & Wiesmann, T. (2015). Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function. BioMed Research International, 2015, 325012. https://doi.org/10.1155/2015/325012
Zoremba M, et al. Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects On Fast Track Capability, Analgesic Quality, and Lung Function. Biomed Res Int. 2015;2015:325012. PubMed PMID: 26064898.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function. AU - Zoremba,Martin, AU - Kratz,Thomas, AU - Dette,Frank, AU - Wulf,Hinnerk, AU - Steinfeldt,Thorsten, AU - Wiesmann,Thomas, Y1 - 2015/04/29/ PY - 2015/01/22/received PY - 2015/04/11/revised PY - 2015/04/20/accepted PY - 2015/6/12/entrez PY - 2015/6/13/pubmed PY - 2016/3/11/medline SP - 325012 EP - 325012 JF - BioMed research international JO - Biomed Res Int VL - 2015 N2 - BACKGROUND: After shoulder surgery performed in patients with interscalene nerve block (without general anesthesia), fast track capability and postoperative pain management in the PACU are improved compared with general anesthesia alone. However, it is not known if these evidence-based benefits still exist when the interscalene block is combined with general anesthesia. METHODS: We retrospectively analyzed a prospective cohort data set of 159 patients undergoing shoulder arthroscopy with general anesthesia alone (n = 60) or combined with an interscalene nerve block catheter (n = 99) for fast track capability time. Moreover, comparisons were made for VAS scores, analgesic consumption in the PACU, pain management, and lung function measurements. RESULTS: The groups did not differ in mean time to fast track capability (22 versus 22 min). Opioid consumption in PACU was significantly less in the interscalene group, who had significantly better VAS scores during PACU stay. Patients receiving interscalene blockade had a significantly impaired lung function postoperatively, although this did not affect postoperative recovery and had no impact on PACU times. CONCLUSION: The addition of interscalene block to general anesthesia for shoulder arthroscopy did not enhance fast track capability. Pain management and VAS scores were improved in the interscalene nerve block group. SN - 2314-6141 UR - https://www.unboundmedicine.com/medline/citation/26064898/Supplemental_Interscalene_Blockade_to_General_Anesthesia_for_Shoulder_Arthroscopy:_Effects_on_Fast_Track_Capability_Analgesic_Quality_and_Lung_Function_ DB - PRIME DP - Unbound Medicine ER -