Bishop Julie Y, Sprague Mark, Gelber Jonathan, Krol Marina, Rosenblatt Meg A, Gladstone James N, Flatow Evan L
Department of Orthopaedics, The Ohio State University, Columbus, OH, USA.
J Shoulder Elbow Surg. 2006 Sep-Oct;15(5):567-70. doi: 10.1016/j.jse.2006.01.009.
There has been resistance to the use of interscalene regional block for arthroscopic shoulder surgery because of concerns about potential complications and failed blocks with the subsequent need for general anesthesia. The purpose of this study was to assess whether interscalene regional block is safe and effective and offers many advantages over general anesthesia for outpatient arthroscopic shoulder surgery. Through a retrospective chart review of consecutive arthroscopic shoulder surgeries over a 2.5-year time period, in a tertiary university medical center with an anesthesiology residency, 277 interscalene blocks (96%) were successful; 12 (4%) required general anesthesia because of an inadequate block. There were no seizures, pneumothoraces, cardiac events, or other major complications. There was a 1% rate of minor complications, all of which were transient sensory neuropathies that resolved within 5 weeks on average. We conclude that interscalene block can provide effective anesthesia for arthroscopic shoulder surgery.
由于担心潜在并发症以及阻滞失败后需要全身麻醉，肌间沟区域阻滞在关节镜下肩部手术中的应用一直存在阻力。本研究的目的是评估肌间沟区域阻滞对于门诊关节镜下肩部手术是否安全有效，以及是否比全身麻醉具有更多优势。通过回顾性查阅在一所设有麻醉学住院医师培训项目的三级大学医学中心2.5年期间连续进行的关节镜下肩部手术病历，277例肌间沟阻滞（96%）成功；12例（4%）因阻滞效果不佳而需要全身麻醉。未发生癫痫、气胸、心脏事件或其他重大并发症。轻微并发症发生率为1%，均为短暂性感觉神经病变，平均在5周内缓解。我们得出结论，肌间沟阻滞可为关节镜下肩部手术提供有效的麻醉。
