지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 168 - 172 (5page)
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초록· 키워드
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Background:The aim of the study was to investigate the feasibility of fluoroscopy-guided anterior approach for suprascapular nerve block (SSNB).
Methods:Twenty patients with chronic shoulder pain were included in the study. All of the nerve blocks were performed with patients in a supine position. Fluoroscopy was tilted medially to obtain the best view of the scapular notch (medial angle) and caudally to put the base of coracoid process and scapular spine on same line (caudal angle). SSNB was performed by introducing a 100-mm, 21-gauge needle to the scapular notch with tunnel view technique. Following negative aspiration, 1.0 ml of contrast was injected to confirm the scapular notch, and 1 % mepivacaine 2 ml was slowly injected. The success of SSNB was assessed by numerical rating scale (NRS) before and after the block.
Results:The average NRS was decreased from 4.8 ± 0.6 to 0.6 ± 0.5 after the procedure (P ＜ 0.05). The best view of the scapular notch was obtained in a medial angle of 15.1 ± 2.2 (11−19o) and a caudal angle of 15.4 ± 1.7o (12−18o). The average distance from the skin to the scapular notch was 5.8 ± 0.6 cm. None of the complications such as pneumothorax, intravascular injection, and hematoma formation was found except one case of partial brachial plexus block.
Conclusions:SSNB by fluoroscopy-guided anterior approach is a feasible technique. The advantage of using a fluoroscopy resulted in an effective block with a small dose of local anesthetics by an accurate placement of a tip of needle in the scapular notch while avoiding pneumothorax.
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참고문헌 (14)
참고문헌 신청
Aszmann OC / 1996 / Innervation of the human shoulder joint and its implications for surgery / Clin Orthop Relat Res (330) : 202 ~ 207
Brown DL / 1998 / The upper extremity somatic block. In: Neural blockade in clinical anesthesia and management of pain / Lippincott-Raven : 345 ~ 371
Dahan TH / 2000 / Double blind randomized clinical trial examining the efficacy of bupivacaine suprascapular nerve blocks in frozen shoulder / J Rheumatol 27 : 1464 ~ 1469
Emery P / 1989 / Suprascapular nerve block for chronic shoulder pain in rheumatoid arthritis / BMJ 299 : 1079 ~ 1080
Feigl GC / 2007 / Modified lateral block of the suprascapular nerve: a safe approach and how much to inject? A morphological study / Reg Anesth Pain Med 32 : 488 ~ 494
Brown DL / 1998 / The upper extremity somatic block. In: Neural blockade in clinical anesthesia and management of pain / Lippincott-Raven : 345 ~ 371
Dahan TH / 2000 / Double blind randomized clinical trial examining the efficacy of bupivacaine suprascapular nerve blocks in frozen shoulder / J Rheumatol 27 : 1464 ~ 1469
Emery P / 1989 / Suprascapular nerve block for chronic shoulder pain in rheumatoid arthritis / BMJ 299 : 1079 ~ 1080
Feigl GC / 2007 / Modified lateral block of the suprascapular nerve: a safe approach and how much to inject? A morphological study / Reg Anesth Pain Med 32 : 488 ~ 494
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