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January 1, 2011Annals of African Medicine

Interscalene block for shoulder surgery

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Key result

Interscalene block successfully provides surgical anesthesia for shoulder surgery without complications.

  • n=1

Population

1 patient with left humeral surgical neck fracture dislocation

Comparison

Interscalene brachial plexus block as primary anesthetic technique

Design

Case report

Follow-up

70 minutes (duration of surgery)

Authors

ARAmbrose RukeweUniversity of NamibiaIAImonicheI AdeoyeUSUmarM Sule

Discussion

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Overview

May support feasibility in select cases; leaves open need for controlled trials before wider adoption.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A single case report of a patient undergoing open reduction and internal fixation of a left humeral surgical neck fracture dislocation.
I
Intervention
Interscalene brachial plexus block with 40 ml of local anesthetic (0.25% bupivacaine and 1.0% lidocaine with 1:200,000 epinephrine in equal parts) localized by a Polystim II nerve stimulator
O
Outcome
Achievement of surgical anesthesia and completion of surgery without complications

Interscalene block can be successfully used as a primary anesthetic technique for shoulder fracture dislocation surgery, potentially avoiding the risks of general anesthesia.

Cite This Study

Rukewe et al. (2011) conducted a case report in Left humeral surgical neck fracture dislocation (n=1). Interscalene block was evaluated on Surgical anesthesia and complications. Interscalene block successfully provided surgical anesthesia within 18 minutes for a 70-minute shoulder surgery without complications.

synapsesocial.com/papers/6aaf575111fbe269dcdc9f49https://doi.org/10.4103/1596-3519.82063
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Brachial plexus anesthesia: Essentials of our current understanding☆2002 · 186 citations
  2. 2Transscalene Brachial Plexus Block: A New Posterolateral Approach for Brachial Plexus Block2007 · 15 citations
  3. 3Factors Contributing to a Prolonged Stay After Ambulatory Surgery1999 · 239 citations
  4. 4Interscalene Brachial Plexus Block1970 · 612 citations
  5. 5Evaluation of the Lateral Modified Approach for Continuous Interscalene Block after Shoulder Surgery2003 · 246 citations