Supplemental interscalene blockade to general anesthesia for shoulder arthroscopy

Effects on fast track capability, analgesic quality, and lung function

Martin Zoremba, Thomas Kratz, Frank Dette, Hinnerk Wulf, Thorsten Steinfeldt, Thomas Wiesmann, Christina M Pabelick

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish (US)
Article number325012
JournalBioMed Research International
Volume2015
DOIs
StatePublished - 2015

Fingerprint

Arthroscopy
General Anesthesia
Analgesics
Nerve Block
Pain Management
Lung
Catheters
Surgery
Opioid Analgesics
Recovery
Postoperative Pain

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)

Cite this

Supplemental interscalene blockade to general anesthesia for shoulder arthroscopy : Effects on fast track capability, analgesic quality, and lung function. / Zoremba, Martin; Kratz, Thomas; Dette, Frank; Wulf, Hinnerk; Steinfeldt, Thorsten; Wiesmann, Thomas; Pabelick, Christina M.

In: BioMed Research International, Vol. 2015, 325012, 2015.

Research output: Contribution to journalArticle

@article{d064dc57780c4377a2a8846b985ffcff,
title = "Supplemental interscalene blockade to general anesthesia for shoulder arthroscopy: Effects on fast track capability, analgesic quality, and lung function",
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.",
author = "Martin Zoremba and Thomas Kratz and Frank Dette and Hinnerk Wulf and Thorsten Steinfeldt and Thomas Wiesmann and Pabelick, {Christina M}",
year = "2015",
doi = "10.1155/2015/325012",
language = "English (US)",
volume = "2015",
journal = "BioMed Research International",
issn = "2314-6133",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Supplemental interscalene blockade to general anesthesia for shoulder arthroscopy

T2 - 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

AU - Pabelick, Christina M

PY - 2015

Y1 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84929376508&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929376508&partnerID=8YFLogxK

U2 - 10.1155/2015/325012

DO - 10.1155/2015/325012

M3 - Article

VL - 2015

JO - BioMed Research International

JF - BioMed Research International

SN - 2314-6133

M1 - 325012

ER -