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A retrospective comparison of interscalene block and general anesthesia for ambulatory surgery shoulder arthroscopy.
Reg Anesth. 1995 Jan-Feb; 20(1):62-8.RA

Abstract

BACKGROUND AND OBJECTIVES

An increasing percentage of all surgery is performed in an ambulatory surgery setting. Concurrently, arthroscopy of the shoulder joint has allowed definitive repair of shoulder pathology to occur in this environment. This study was designed to ascertain whether interscalene block is reliable and efficient for use in same-day surgery compared with general anesthesia for shoulder arthroscopy.

METHODS

The authors retrospectively reviewed patients treated at the University of Connecticut over a 42-month period in the same-day surgery unit. Of 263 patients, 160 had a general anesthetic and 103 had an interscalene block. All times recorded for the study were contemporaneously logged into the operating room computer data base from which they were extracted. Data on complications were retrieved from individual patient charts and hospital quality assurance files.

RESULTS

Compared to general anesthesia, regional anesthesia required significantly less total nonsurgical intraoperative time use (53 +/- 12 vs. 62 +/- 13 minutes, P = .0001) and also decreased postanesthesia care unit stay (72 +/- 24 vs. 102 +/- 40, P = .0001). Interscalene block anesthesia resulted in significantly fewer unplanned admissions for therapy of severe pain, sedation, or nausea/vomiting than general anesthesia (0 vs. 13, P = .004) and an acceptable failure rate (8.7%).

CONCLUSIONS

Interscalene block should be considered as a viable alternative to general anesthesia for shoulder arthroscopy in ambulatory surgery patients.

Authors+Show Affiliations

D'Alessio JG
Department of Anesthesiology, University of Tennessee, Memphis 38163, USA.
Rosenblum M
No affiliation info available
Shea KP
No affiliation info available
Freitas DG
No affiliation info available

MeSH

AdolescentAdultAgedAmbulatory Surgical ProceduresAnesthesia, GeneralArthroscopyFemaleHumansMaleMiddle AgedNerve BlockPain, PostoperativePostoperative CarePostoperative ComplicationsRetrospective StudiesShoulder

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

7727331

Citation

D'Alessio, J G., et al. "A Retrospective Comparison of Interscalene Block and General Anesthesia for Ambulatory Surgery Shoulder Arthroscopy." Regional Anesthesia, vol. 20, no. 1, 1995, pp. 62-8.
D'Alessio JG, Rosenblum M, Shea KP, et al. A retrospective comparison of interscalene block and general anesthesia for ambulatory surgery shoulder arthroscopy. Reg Anesth. 1995;20(1):62-8.
D'Alessio, J. G., Rosenblum, M., Shea, K. P., & Freitas, D. G. (1995). A retrospective comparison of interscalene block and general anesthesia for ambulatory surgery shoulder arthroscopy. Regional Anesthesia, 20(1), 62-8.
D'Alessio JG, et al. A Retrospective Comparison of Interscalene Block and General Anesthesia for Ambulatory Surgery Shoulder Arthroscopy. Reg Anesth. 1995 Jan-Feb;20(1):62-8. PubMed PMID: 7727331.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A retrospective comparison of interscalene block and general anesthesia for ambulatory surgery shoulder arthroscopy. AU - D'Alessio,J G, AU - Rosenblum,M, AU - Shea,K P, AU - Freitas,D G, PY - 1995/1/1/pubmed PY - 1995/1/1/medline PY - 1995/1/1/entrez SP - 62 EP - 8 JF - Regional anesthesia JO - Reg Anesth VL - 20 IS - 1 N2 - BACKGROUND AND OBJECTIVES: An increasing percentage of all surgery is performed in an ambulatory surgery setting. Concurrently, arthroscopy of the shoulder joint has allowed definitive repair of shoulder pathology to occur in this environment. This study was designed to ascertain whether interscalene block is reliable and efficient for use in same-day surgery compared with general anesthesia for shoulder arthroscopy. METHODS: The authors retrospectively reviewed patients treated at the University of Connecticut over a 42-month period in the same-day surgery unit. Of 263 patients, 160 had a general anesthetic and 103 had an interscalene block. All times recorded for the study were contemporaneously logged into the operating room computer data base from which they were extracted. Data on complications were retrieved from individual patient charts and hospital quality assurance files. RESULTS: Compared to general anesthesia, regional anesthesia required significantly less total nonsurgical intraoperative time use (53 +/- 12 vs. 62 +/- 13 minutes, P = .0001) and also decreased postanesthesia care unit stay (72 +/- 24 vs. 102 +/- 40, P = .0001). Interscalene block anesthesia resulted in significantly fewer unplanned admissions for therapy of severe pain, sedation, or nausea/vomiting than general anesthesia (0 vs. 13, P = .004) and an acceptable failure rate (8.7%). CONCLUSIONS: Interscalene block should be considered as a viable alternative to general anesthesia for shoulder arthroscopy in ambulatory surgery patients. SN - 0146-521X UR - https://www.unboundmedicine.com/medline/citation/7727331/A_retrospective_comparison_of_interscalene_block_and_general_anesthesia_for_ambulatory_surgery_shoulder_arthroscopy_ DB - PRIME DP - Unbound Medicine ER -