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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2020, Number 2

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An Med Asoc Med Hosp ABC 2020; 65 (2)

Postoperative analgesic management with ultrasonography guided regional blocks in shoulder surgery

Galván TY, Álvarez RGE, Cisneros GJ, López HMN, Fernández SJR, Fajardo PM

Language: Spanish
References: 57
Page: 114-121
PDF size: 328.65 Kb.


ABSTRACT

Postoperative pain is currently a condition not adequately managed, in the last two decades various studies have shown that 70% or more of surgical patients reported moderate to severe pain after surgery; both preoperative and postoperative management of the patient should be considered, techniques of multimodal analgesia and regional anesthesia. In the successful management of postoperative pain in shoulder surgery, regional anesthesia with the use of ultrasound provides multiple advantages, among which are the lower incidence of complications, an early hospital discharge, better patient conditions for rehabilitation, and less re-admission, with the consequent decrease in hospitalization costs; At present, interfascial blocks have been included in the traditional techniques highlighting for shoulder surgeries the spinal erector fascia block (ESP). Objective: To highlight the importance of regional blockages with ultrasonography for postoperative anesthetic management in shoulder surgery, emphasizing the incorporation of the erector muscle block of the spine.


REFERENCES

  1. Iqbal S, Jacobs U, Akhtar A, Macfarlane RJ, Waseem M. A history of shoulder surgery. The Open Orthop J. 2013; 7: 305-309.

  2. Andren L, Lundberg BJ. Treatment of rigid shoulders by joint distension during arthrography. Acta Orthop Scand. 1965; 36: 45-53.

  3. Beecroft CL, Coventry DM. Anaesthesia for shoulder surgery. Br J Anaesth. 2008; 6: 193-198.

  4. Hadzic A, Williams BA, Karaca PE, Hobeika P, Unis G, Dermksian J et al. For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia. Anesthesiology. 2005; 102: 1001-1007.

  5. Hutton M, Brull R, Macfarlane A. Regional anaesthesia and outcomes. Br J Anaesth. 2018; 18: 52-56.

  6. Brow A, Weiss R, Greenberg C, Flatow E, Bigliani L. Interscalene block for shoulder arthroscopy: comparison with general anesthesia. Arthroscopy. 1993; 9: 295-300.

  7. Hansen JT. Netter’s clinical anatomy. 4th. Philadelphia: Elsevier; 2019.

  8. Boezart A. Anesthesia and orthopaedic surgery. New York, USA: McGraw Hill; 2006.

  9. Hadzic A. Tratado de anestesia regional y manejo del dolor agudo. Hadzic A, editor.: McGrawHill; 2010.

  10. Bowns CJ, Sripada R. Regional blockade of the shoulder: approaches and outcomes. Anesthesiol Res Pact. 2012; 2012: 971963.

  11. Winnie A. The interescalene brachial plexus black. Anesth Analg. 1970; 49: 455-466.

  12. Thomas L, Graham S, Osteen K, Porter H, Nossaman B. Comparison of ultrasound and nerve stimulation techniques for interscalene brachial plexus block for shoulder surgery in a residency training environment: a randomized, controlled, observer-blinded tria. Ochsner J. 2011; 11: 246-252.

  13. Vorobeichik L, Brull R, Bowry R, Laffey J, Abdallah F. Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles. Br J Anaesth. 2018; 120: 679-692.

  14. Neal J, Brull R, Horn J, Lui S, McCartney C, Perlas A et al. The Second America Society of Regional Anesthesia and pain medicine evidence-based medicine assessment of ultrasound-guied regional anesthesia: executive summary. Reg Anesth Pain Med. 2016; 42: 181-194.

  15. Chan V. Applying ultrasound imaging to interscalene brachial plexus block. Reg Anesth Pain Med. 2003; 28: 340-343.

  16. El-Boghdadly K, Chin K, Chan V. Phrenic nerve palsy and regional anesthesia for shoulder surgery: anatomical, physiologic, and clinical considerations. Anesthesiology. 2017; 127: 173-191.

  17. Stasiowski M, Zuber M, Marciniak R, Kolny M, Chabierska E, Jalowiecki P et al. Risk factors for the development of Horner’s syndrome following interscalene brachial plexus block using ropivacaine for shoulder arthroscopy: a randomised trial. Anaesthesiology Intensive Ther. 2018; 50: 215-220.

  18. Thukral S, Gupta P, Gupta M, Lakra A. Recurrent laryngeal nerve palsy following interscalene brachial plexus block: How to manage and avoid permanent sequelae? J Anaesthesiol Clin Pharmacol. 2015; 31: 282-283.

  19. Gomez R, Mendes T. Epidural anaesthesia as a complication of attempted brachial plexus blockade using the posterior approach. Anaesthesia. 2006; 6: 591-592.

  20. Turner F, Shih R, Fishman I, Calello D, Solano J. Total spinal anesthesia following an interscalene block treated with intravenous lipid emulsion. Cureus. 2019; 11: 4491.

  21. Leander-Olsson O, Borglund-Hemph A, Jakobsson J. Pneumothorax following shoulder arthroscopy under combined regional and general anaesthesia-A case report. Int J Surg Case Rep. 2016; 24: 73-76.

  22. Loubert C, Williams S, Helie F, Arcand G. Complication during ultrasound-guided regional block: accidental intravascular injection of local anesthetic. Anesthesiology. 2008; 108: 759-760.

  23. Yim G, Lin Z, Shirley C, Isherwood P, Power D. The late diagnosis of nerve injuries following interscalene block and shoulder surgery. J Musculoskelet Surg Res. 2019; 3: 141-145.

  24. Vasques F, Behr A, Weinberg G, Ori C, Di Gregorio G. A review of local anesthetic systemic toxicity cases since publication of the American Society of Regional Anesthesia recommendations: to whom it may concern. Reg Anesth Pain Med. 2015; 40: 698-705.

  25. Lenters T, Davies J, Matsen F. The types and severity of complications associated with interscalene brachial plexus block anesthesia: local and national evidence. J Shoulder Elbow Surg. 2007; 16: 379-387.

  26. Price D. The shoulder block: a new alternative to interscalene brachial plexus blockade for the control of posoperative shoulder pain. Anaesthe and Intensive Care. 2007; 35: 575-581.

  27. Checcucci G, Allegra A, Bigazzi P, Gianesello L, Ceruso M, Gritti G. A new technique for regional anesthesia for arthroscopic shoulder surgery based on a suprascapular nerve block and an axillary nerve block: an evaluation of the first results. 2008; 24: 689-696.

  28. Standring S. Gray’s anatomy. 41st ed.: Elsevier; 2016.

  29. Fernandes M, Barbosa M, Sousa A, Ramos G. Suprascapular nerve block: important procedure in clinical practice. Rev Bras Anestesiol. 2012; 62: 96-104.

  30. Schneider-Kolsky M, Pike J, Connell D. CT-guided suprascapular nerve blocks: a pilot study. Skeletal Radiol. 2004; 33: 277-282.

  31. Harmon D, Hearty C. Ultrasound-guided suprascapular nerve block technique. Pain Physician. 2007; 10: 743-746.

  32. Yucesoy C, Akkaya T, Ozel O, Cömet A, Tüccar E et al. Ultrasonographic evaluation and morphometric measurements of the suprascapular notch. Surg Radiol Anat. 2009; 31: 409-414.

  33. Dangoisse M, Wilson DJ, Glynn CJ. MRI and clinical study of an easy and safe technique of suprascapular nerve blockade. MRI and clinical study of an easy and safe technique of suprascapular nerve blockade. Acta Anaesthesiol Belg. 1994; 45 (2): 49-54.

  34. Uz A, Apaydin N, Bozkurt M, Elhan A. The anatomic branch pattern of the axillary nerve. J Shoulder Elbow Surg. 2007; 16: 240-244.

  35. McDonnell J, O’Donnell B, Curley G, Heffernan A, Power C, Laffey J. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg. 2007; 104: 193-197.

  36. Hebbard P, Fujiwara Y, Shibata Y, Royse C. Ultrasound-guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007; 35: 616-617.

  37. Forero M, Adhikary S, Lopez H, Tsui C, Chin K. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016; 41: 621-627.

  38. Yang H, Choi Y, Kwon H, O J, Cho T, Kim S. Comparison of injectate spread and nerve involvement between retrolaminar and erector spinae plane blocks in the thoracic region: a cadaveric study. Anaesthesia. 2018; 73: 1244-1250.

  39. Adhikary S, Bernard S, Lopez H, Chin K. Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study. Reg Anesth Pain Med. 2018; 43: 756-762.

  40. Luftig J, Mantuani D, Herring A, Dixon B, Clattenburg E, Nagdev A. Successful emergency pain control for posterior rib fractures with ultrasound-guided erector spinae plane block. Am J Emerg Med. 2018; 36: 1391-1396.

  41. Bang S, Choi J, Kim E. A high thoracic erector spinae plane block used for sympathetic block in patients with upper extremity complex regional pain syndrome. J Clin Anesth. 2020; 60: 99-100.

  42. Forero M, Rajarathinam M, Adhikary S, Chi. Erector spinae plane block for the management of chronic shoulder pain: a case report. Can J Anaesth. 2018; 65: 288-293.

  43. Tsui B, Mohler D, Caruso T, Horn J. Cervical erector spinae plane block catheter using a thoracic approach: an alternative to brachial plexus blockade for forequarter amputation. Can J of Anaesth. 2019; 66: 119-120.

  44. Hamadnalla H, Elsharkawy H, Shimada T, Maheshwari K, Esa W, Tsui B. Cervical erector spinae plane block catheter for shoulder disarticulation surgery. Can J Anaesth. 2019; 66: 1129-1131.

  45. Diwan S, Nair A. Erector spinae plane block for proximal shoulder surgery: a phrenic nerve sparing block! Turk J Anaesthesiol Reanim. 2019; 1-3.

  46. Kilicaslan A, Hacibeyoglu G, Goger E, Uzun S, Ozer M. Combined erector spinae plane and interscalene brachial plexus block for surgical anesthesia of scapula fracture. J Clin Anesth. 2019; 54: 166-167.

  47. Ma W, Sun L, Ngai L, Costouros J, Steffner R, Boublik J et al. Motor-sparing high-thoracic erector spinae plane block for proximal humerus surgery and total shoulder arthroplasty surgery: clinical evidence for differential peripheral nerve block? Can J Anaesth. 2019; 66: 1274-1275.

  48. Tulgar S, Selvi O, Senturk O, Serifsoy T, Thomas D. Ultrasound-guided erector spinae plane block: indications, complications, and effects on acute and chronic pain based on a single-center experience. Cureus. 2019; 11: e3815.

  49. Tsui B, Ip V. Can electrical nerve stimulation guidance assist in cervical erector spinae plane block catheter placement for total shoulder arthroplasty? Can J Anaesth. 2019; 66: 1417-1418.

  50. Barrington M, Uda Y. Did ultrasound fulfill the promise of safety in regional anesthesia? Curr Opin Anaesthesiol. 2018; 31: 649-655.

  51. Wahal C, Kumar A, Pyati S. Advances in regional anaesthesia: A review of current practice, newer techniques and outcomes. Indian J Anaesth. 2018; 62: 94-102.

  52. Veiga M, Costa D, Brazao I. Erector spinae plane block for radical mastectomy: A new indication? Resv Esp Anestesiol Reanim. 2018; 65: 112-115.

  53. Gaballah K, Soltan W, Bahgat N. Ultrasound-guided serratus plane block versus erector spinae block for postoperative analgesia after video-assisted thoracoscopy: a pilot randomized controlled trial. J Cardiothorac Vasc Anesth. 2019; 33: 1946-1953.

  54. Tulgar S, Selvi O, Kapakli M. Erector spinae plane block for different laparoscopic abdominal surgeries: case series. Case Rep Anesthesiol. 2018; 18: 1-3.

  55. Melvin J, Schrot R, Chu G, Chin K. Low thoracic erector spinae plane block for perioperative analgesia in lumbosacral spine surgery: a case series. Can J Anaesth. 2018; 65: 1057-1065.

  56. Santonastaso D, de Chiara A, Musetti G, Bagaphou C, Gamberini E, Agnoletti V. Ultrasound guided erector spinae plane block for open partial nephrectomy: only an alternative? J Clin Anesth. 2019; 56: 55-56.

  57. Albrecht E, Chin KJ. Advances in regional anaesthesia and acute pain management: a narrative review. Anaesthesia. 2020; 75: 101-110.




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