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(iii) Anaesthesia for shoulder surgery

Authors
Journal
Current Orthopaedics
0268-0890
Publisher
Elsevier
Publication Date
Volume
18
Issue
2
Identifiers
DOI: 10.1016/j.cuor.2004.02.004
Keywords
  • Shoulder Surgery
  • Interscalene Block
  • Interscalene Catheter
  • Modified Lateral Approach
  • Postoperative Pain
  • Postoperative Analgesia
Disciplines
  • Design
  • Medicine
  • Philosophy

Abstract

Abstract Pain after major open shoulder surgery, which maybe severe or very severe, is the major factor compromising early physical therapy. Interscalene block is a well recognised and efficient technique to control such pain. Various approaches are described; the modified lateral technique is the safest to perform and the most amenable for interscalene catheter insertion. This latter permits continuous infusion of local anaesthetic, the best technique available to achieve postoperative pain relief both at rest and on movement.

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