Journal of Shoulder and Elbow Surgery
Volume 15, Issue 6 , Pages 686-690 , November 2006

Interscalene block anesthesia at an ambulatory surgery center performing predominantly regional anesthesia: A prospective study of one hundred thirty-three patients undergoing shoulder surgery

  • Deborah Faryniarz, MD

      Affiliations

    • Department of Orthopedic Surgery and Sports Medicine, The Permanente Medical Group, Santa Clara, CA
    • Corresponding Author InformationReprint requests: Deborah Faryniarz, MD, Department of Orthopedic Surgery and Sports Medicine, The Permanente Medical Group, 900 Kiely Blvd, Santa Clara, CA 95051
    • ,
  • Christine Morelli, BS

      Affiliations

    • Department of Anesthesiology, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • Struan Coleman, MD, PhD

      Affiliations

    • Sports Medicine and Shoulder Service, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • Tara Holmes, PAC

      Affiliations

    • Sports Medicine and Shoulder Service, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • Answorth Allen, MD

      Affiliations

    • Sports Medicine and Shoulder Service, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • David Altchek, MD

      Affiliations

    • Sports Medicine and Shoulder Service, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • Frank Cordasco, MD

      Affiliations

    • Sports Medicine and Shoulder Service, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • Russell F. Warren, MD

      Affiliations

    • Sports Medicine and Shoulder Service, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • Michael K. Urban, MD

      Affiliations

    • Department of Anesthesiology, Hospital for Special Surgery (HSS), New York, NY
    • ,
  • Michael A. Gordon, MD

      Affiliations

    • Department of Anesthesiology, Hospital for Special Surgery (HSS), New York, NY

References 

  1. Arciero RA, Taylor DC, Harrison SA, Snyder RJ, Leahy KE, Uhorchak JM. Interscalene anesthesia for shoulder arthroscopy in a community-sized military hospital. Arthroscopy. 1996;12:715–719
  2. Betts A, Eggan JR. Unilateral pulmonary edema with interscalene block. Anesthesiology. 1998;88:1113–1114
  3. Boardman ND, Cofield RH. Neurologic complications of shoulder surgery. Clin Orthop Relat Res. 1999;44–53
  4. Borgeat A, Ekatodramis G, Kalberer F, Benz C. Acute and nonacute complications associated with interscalene block and shoulder surgery: a prospective study. Anesthesiology. 2001;95:875–880
  5. Conn RA, Cofield RH, Byer DE, Linstromberg JW. Interscalene block anesthesia for shoulder surgery. Clin Orthop Relat Res. 1987;94–98
  6. D’Alessio JG, Rosenblum M, Shea KP, Freitas DG. A retrospective comparison of interscalene block and general anesthesia for ambulatory surgery shoulder arthroscopy. Reg Anesth. 1995;20:62–68
  7. Fanelli G, Casati A, Garancini P, Torri G. Nerve stimulator and multiple injection technique for upper and lower limb blockade: failure rate, patient acceptance, and neurologic complications (Study Group on Regional Anesthesia). Anesth Analg. 1999;88:847–852
  8. Gentili ME, Lefoulon-Gourves M, Mamelle JC, Bonnet F. Acute respiratory failure following interscalene block: complications of combined general and regional anesthesia. Reg Anesth. 1994;19:292–293
  9. Horlocker TT, O’Driscoll SW, Dinapoli RP. Recurring brachial plexus neuropathy in a diabetic patient after shoulder surgery and continuous interscalene block. Anesth Analg. 2000;91:688–690
  10. Kempen PM, O’Donnell J, Lawler R, Mantha V. Acute respiratory insufficiency during interscalene plexus block. Anesth Analg. 2000;90:1415–1416
  11. Kinnard P, Truchon R, St-Pierre A, Montreuil J. Interscalene block for pain relief after shoulder surgery (A prospective randomized study). Clin Orthop Relat Res. 1994;22–24
  12. Koscielniak-Nielsen ZJ. Hemidiaphragmatic paresis after interscalene supplementation of insufficient axillary block with 3 mL of 2% mepivacaine. Acta Anaesthesiol Scand. 2000;44:1160–1162
  13. Passannante AN. Spinal anesthesia and permanent neurologic deficit after interscalene block. Anesth Analg. 1996;82:873–874
  14. Selander D, Edshage S, Wolff T. Paresthesiae or no paresthesiae? Nerve lesions after axillary blocks. Acta Anaesthesiol Scand. 1979;23:27–33
  15. Tetzlaff JE, Dilger J, Yap E, Brems J. Idiopathic brachial plexitis after total shoulder replacement with interscalene brachial plexus block. Anesth Analg. 1997;85:644–646
  16. Tetzlaff JE, Yoon HJ, Brems J. Interscalene brachial plexus block for shoulder surgery. Reg Anesth. 1994;19:339–343
  17. Urban MK, Urquhart B. Evaluation of brachial plexus anesthesia for upper extremity surgery. Reg Anesth. 1994;19:175–182
  18. Urmey WF, Gordon J. Inability to consistently elicit a motor response following sensory paresthesia during interscalene block administration. Anesthesia. 2002;96:552–554
  19. Urmey WF, Talts KH, Sharrock NE. One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography. Anesth Analg. 1991;72:498–503
  20. Weber SC, Jain R. Scalene regional anesthesia for shoulder surgery in a community setting: an assessment of risk. J Bone Joint Surg Am. 2002;84:775–778
  21. Winnie AP. An “immobile needle” for nerve blocks. Anesthesiology. 1969;31:577–578

 Grant support was provided by the Sports Medicine Institute, Hospital for Special Surgery.

PII: S1058-2746(06)00089-9

doi: 10.1016/j.jse.2006.02.001

Journal of Shoulder and Elbow Surgery
Volume 15, Issue 6 , Pages 686-690 , November 2006

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