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dc.contributor.authorMusso, Dario Davide
dc.contributor.authorFlohr-Madsen, Sandra
dc.contributor.authorMeknas, Khaled
dc.contributor.authorWilsgaard, Tom
dc.contributor.authorYtrebø, Lars Marius
dc.contributor.authorKlaastad, Øivind
dc.date.accessioned2019-05-10T08:54:27Z
dc.date.available2019-05-10T08:54:27Z
dc.date.issued2017-08-04
dc.description.abstract<p><i>Background - </i>Interscalene brachial plexus block is currently the gold standard for intra‐ and post‐operative pain management for patients undergoing arthroscopic shoulder surgery. However, it is associated with block related complications, of which effect on the phrenic nerve have been of most interest. Side effects caused by general anesthesia, when this is required, are also a concern. We hypothesized that the combination of superficial cervical plexus block, suprascapular nerve block, and infraclavicular brachial plexus block would provide a good alternative to interscalene block and general anesthesia. <p><i>Methods - </i>Twenty adult patients scheduled for arthroscopic shoulder surgery received a combination of superficial cervical plexus block (5 ml ropivacaine 0.5%), suprascapular nerve block (4 ml ropivacaine 0.5%), and lateral sagittal infraclavicular block (31 ml ropivacaine 0.75%). The primary aim was to find the proportion of patients who could be operated under light propofol sedation, without the need for opioids or artificial airway. Secondary aims were patients' satisfaction and surgeons' judgment of the operating conditions. <p><i>Results - </i>Nineteen of twenty patients (95% CI: 85–100) underwent arthroscopic shoulder surgery with light propofol sedation, but without opioids or artificial airway. The excluded patient was not comfortable in the beach chair position and therefore received general anesthesia. All patients were satisfied with the treatment on follow‐up interviews. The surgeons rated the operating conditions as good for all patients. <p><i>Conclusion - </i>The novel combination of a superficial cervical plexus block, a suprascapular nerve block, and an infraclavicular nerve block provides an alternative anesthetic modality for arthroscopic shoulder surgery.en_US
dc.descriptionThis is the peer reviewed version of the following article: Musso, D., Flohr-Madsen, S., Meknas, K., Wilsgaard, T., Ytrebø, L.M. & Klaastad, Ø. (2017). A novel combination of peripheral nerve blocks for arthroscopic shoulder surgery. <i>Acta Anaesthesiologica Scandinavica, 61</i>(9), 1192-1202, which has been published in final form at <a href=https://doi.org/10.1111/aas.12948>https://doi.org/10.1111/aas.12948</a>. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en_US
dc.identifier.citationMusso, D., Flohr-Madsen, S., Meknas, K., Wilsgaard, T., Ytrebø, L.M. & Klaastad, Ø. (2017). A novel combination of peripheral nerve blocks for arthroscopic shoulder surgery. <i>Acta Anaesthesiologica Scandinavica, 61</i>(9), 1192-1202. https://doi.org/10.1111/aas.12948en_US
dc.identifier.cristinIDFRIDAID 1515197
dc.identifier.doi10.1111/aas.12948
dc.identifier.issn0001-5172
dc.identifier.issn1399-6576
dc.identifier.urihttps://hdl.handle.net/10037/15279
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.ispartofFlohr-Madsen, S. (2019). Studies of peripheral nerve blocks for hand and shoulder surgery. (Doctoral thesis). <a href=https://hdl.handle.net/10037/15264>https://hdl.handle.net/10037/15264</a>
dc.relation.ispartofMusso, D.D. (2021). Peripheral nerve blocks for shoulder surgery - Periclavicular approaches in the pursuit of a diaphragm-sparing technique. (Doctoral thesis). <a href=https://hdl.handle.net/10037/22019>https://hdl.handle.net/10037/22019</a>.
dc.relation.journalActa Anaesthesiologica Scandinavica
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Anesthesiology: 765en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Anestesiologi: 765en_US
dc.titleA novel combination of peripheral nerve blocks for arthroscopic shoulder surgeryen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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