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
- 2018.1
- 수록면
- 184 - 191 (8page)
이용수
초록· 키워드
오류제보하기
Background: Ultrasound-guided interscalene brachial plexus block (US-ISB) has been reported to be effective postoperative analgesia for arthroscopic shoulder surgery. Although considered rare, various neurological complications have been reported. We retrospectively evaluated 668 patients for post operation neurological symptoms including hemidiaphragmatic paresis and post-operative neurologic symptoms after US-ISB. Methods: We performed a retrospective chart review of 668 patients undergoing shoulder surgery with single-shot US-ISB from January 2010 to May 2015. The general anesthesia prior to the US-guided ISB procedure was standardized by expert anesthesiologists. Neurological postoperative complications were evaluated at 48 hours, about 2 weeks, 1 month, 3 months, 6 months, and up to resolution after operation. Results: Three patients (0.4%) developed hemidiaphragmatic paresis (HDP), which were likely US-ISB associated and improved within 1 day. Two patients developed sensory symptoms, also likely US-ISB associated; one was paresthesia at the tip of the thumb/ index finger, which resolved within 2 weeks, and the other was hypoesthesia involving the posterior auricular nerve, which resolved within 6 months. Motor and sensory symptoms which were not likely associated with US-ISB were hypoesthesia and pain (n = 28, 4.6%) and motor weakness (n = 2, 0.3%). Conclusions: Incidence of HDP and neurological complications, respectively 0.4% and 0.3%, related to transient minor sensory symptoms occurred after US-ISB for arthroscopic shoulder surgery but the complications improved spontaneously. Therefore, we confirm that the US-ISB procedure with low volumes of local anesthetics is an acceptable technique with a low rate of HDP and neurological complications
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Borgeat A / 2001 / Acute and nonacute complications associated with interscalene block and shoulder surgery: a prospective study / Anesthesiology 95:875~880
Candido KD / 2005 / Neurologic sequelae after interscalene brachial plexus block for shoulder/upper arm surgery: the association of patient, anesthetic, and surgical factors to the incidence and clinical course / Anesth Analg 100:1489~1495
Marhofer P / 2015 / A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery / Anaesthesia 70:41~46
Moore DD / 2013 / Shoulder surgeons' perceptions of interscalene nerve blocks and a review of complications rates in the literature / Phys Sportsmed 41:77~84
Rajpal G / 2016 / Neurologic outcomes after low-volume, ultrasound-guided interscalene block and ambulatory shoulder surgery / Reg Anesth Pain Med 41:477~481
Candido KD / 2005 / Neurologic sequelae after interscalene brachial plexus block for shoulder/upper arm surgery: the association of patient, anesthetic, and surgical factors to the incidence and clinical course / Anesth Analg 100:1489~1495
Marhofer P / 2015 / A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery / Anaesthesia 70:41~46
Moore DD / 2013 / Shoulder surgeons' perceptions of interscalene nerve blocks and a review of complications rates in the literature / Phys Sportsmed 41:77~84
Rajpal G / 2016 / Neurologic outcomes after low-volume, ultrasound-guided interscalene block and ambulatory shoulder surgery / Reg Anesth Pain Med 41:477~481
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
The Efficacy of Additional Intravenous Patient-controlled Analgesia to the Interscalene Block in Arthroscopic Shoulder Surgery : A Prospective Randomized Controlled Study
대한견주관절의학회지
2017 .03
-
Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position
Korean Journal of Anesthesiology
2020 .01
-
Complications of Spine Surgery in Elderly Japanese Patients: Implications for Future of World Population Aging
Neurospine
2019 .01
-
Complications and Management
대한외과학회 학술대회 초록집
2017 .11
-
Time-related Complications in Patients with Traumatic Spinal Cord Injury according to the AIS Impairment Scale Grade: A Retrospective Review
기본간호학회지
2023 .05
-
Long-term results of arthroscopic surgery for posterior shoulder instability
대한견주관절의학회 학술대회논문집
2017 .03
-
A Comparison of Three Methods for Postoperative Pain Control in Patients Undergoing Arthroscopic Shoulder Surgery
The Korean Journal of Pain
2015 .01
-
Monitoring of Complications in General Surgery
대한임상종양학회 학술대회지
2015 .02
-
Complications of reverse shoulder arthroplasty: a concise review
대한견주관절의학회지
2021 .03
-
Complications after liver surgery
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
Randomized, controlled trial comparing respiratory and analgesic effects of interscalene, anterior suprascapular, and posterior suprascapular nerve blocks for arthroscopic shoulder surgery
Korean Journal of Anesthesiology
2020 .01
-
신경계 질환에 대한 COVID-19 범유행의 영향: 신경학적 증상과 합병증
한국신경근육재활학회지
2021 .01
-
Understanding of Neurological Diseases
International Neurourology Journal
2018 .01
-
Improving visualization in shoulder arthroscopy
대한견주관절의학회지
2023 .12
-
Arthroscopic release in adhesive capsulitis of the shoulder: a retrospective study with 2 to 6 years of follow-up
대한견주관절의학회지
2021 .09
-
Effect of local anesthetic volume (20 vs. 40 ml) on the analgesic efficacy of costoclavicular block in arthroscopic shoulder surgery: a randomized controlled trial
Korean Journal of Anesthesiology
2024 .02
-
Comments on: “Spectrum of Neurological Complications Following COVID-19 Vaccination in India”
Journal of Clinical Neurology
2023 .05
-
Ultrasound Guided Low Approach Interscalene Brachial Plexus Block for Upper Limb Surgery
The Korean Journal of Pain
2016 .01
-
Postoperative pain control after arthroscopic rotator cuff repair : Arthroscopy-guided continuous suprascapular nerve block (AS-SSNB) versus Ultrasound-guided continuous inter-scalene block (USISB)
대한견주관절의학회 학술대회논문집
2021 .03
-
Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman : A Case Report
대한견주관절의학회지
2015 .09
이 논문의 저자 정보
최근 본 자료
댓글(0)
0