Recent updates on interscalene brachial plexus block for shoulder surgery.

Anesth Pain Med (Seoul)

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Published: January 2023

AI Article Synopsis

  • Interscalene brachial plexus block (ISBPB) is an effective pain management technique for shoulder surgery but has some drawbacks, such as short-lasting pain relief and possible side effects like diaphragmatic weakness and nerve damage.
  • Due to these limitations, there is a growing interest among clinicians to find alternative pain relief methods to better suit individual patient needs.
  • This mini-review summarizes the latest developments in ISBPB and shares clinical insights from shoulder surgery experiences.

Article Abstract

Interscalene brachial plexus block (ISBPB) provides optimal analgesia for shoulder surgery. However, several limitations still exist, including the short duration of analgesia, rebound pain, a high incidence of unilateral diaphragmatic paresis, and potential risk of nerve damage, prompting the search for alternative techniques. Many alternatives to ISBPB have been studied to alleviate these concerns, and clinicians should choose an appropriate option based on the patient's condition. In this mini-review, we aimed to present recent updates on ISBPB while discussing our clinical experiences in shoulder surgery.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902626PMC
http://dx.doi.org/10.17085/apm.22254DOI Listing

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