Hadi Hosain, Tadros Baha J, Kochhar Tony, Dhinsa Baljinder S
Trauma and Orthopaedics Department, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, United Kingdom.
J Clin Orthop Trauma. 2021 Jan 20;16:154-156. doi: 10.1016/j.jcot.2021.01.004. eCollection 2021 May.
The choice of anaesthetic in shoulder surgery is an evolving field of research which has important implications for patient outcomes. We have performed a prospective study to assess the usability of an interscalene brachial plexus block (ISBPB) with sedation as the primary anaesthetic and analgesic for arthroscopic shoulder surgery. Our study assessed the requirements of analgesia peri-operatively and post operatively and found that patients had no requirement (n = 30) and minimal requirements with a low pain score (visual analogue score; mean 2.4, range 2-5) respectively. We also found that patients spent a short amount of time in recovery (31 min mean, range 21-48 min) and were able to be discharged on the same day. Our findings suggest that ISBPB with sedation is a viable option in arthroscopic shoulder surgery for a variety of procedures with positive effects for patient outcomes and mobility.
肩部手术中麻醉方式的选择是一个不断发展的研究领域，对患者的预后有着重要影响。我们进行了一项前瞻性研究，以评估在关节镜肩部手术中，将肌间沟臂丛神经阻滞（ISBPB）联合镇静作为主要麻醉和镇痛方法的可行性。我们的研究评估了患者围手术期和术后的镇痛需求，发现患者分别无镇痛需求（n = 30）以及仅有最低需求且疼痛评分较低（视觉模拟评分；平均2.4，范围2 - 5）。我们还发现患者恢复时间较短（平均31分钟，范围21 - 48分钟），并且能够在同一天出院。我们的研究结果表明，在关节镜肩部手术中，ISBPB联合镇静对于各种手术来说都是一种可行的选择，对患者的预后和活动能力有积极影响。
