Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block

Küpeli, İlke; Kara, Merve Yazıcı

doi:10.1016/j.bjane.2021.05.009

Cited by 5 publications

(4 citation statements)

References 5 publications

(11 reference statements)

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“…Anatomical evidence 3 suggests that the articular branches of the suprascapular and axillary nerves may be deeper, specifically on the glenoid surface of the scapula. Moreover, Küpeli and Yazici Kara’s 6 method of injecting local anesthetic between the subscapularis and deltoid muscles significantly differs from our protocol.…”

mentioning

confidence: 81%

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Xu,

2024

Anesthesia &Amp; Analgesia

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mentioning

confidence: 81%

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Xu,

2024

Anesthesia &Amp; Analgesia

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“…In fact, to the best of our knowledge, pericapsular nerve group (PENG) block, a block used for analgesia after shoulder surgery, has been previously reported. 2 Coincidentally, the PENG block was also to inject local anesthetic into the deep surface of the subscapularis muscle, but the puncture paths of the 2 blocks are different: the anterior glenoid block was to insert the needle from medial to lateral, while for the PENG block, the needle advanced from cephalad caudally. The cadaveric study by Yamak et al 3 has clarified that the diffusion of local anesthetic after the PENG block achieved a pericapsular distribution, which was also confirmed in the study by González-Arnay et al 4 Therefore, we are confused about whether the anterior glenoid block is the same as PENG block.…”

Section: To the Editormentioning

confidence: 99%

Anterior Glenoid Block as a Promising Piece of the Puzzle in Multimodal Analgesia After Shoulder Surgery

Xiao,

2024

Anesthesia &Amp; Analgesia

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“…Potential benefits of RA include decreased risk of postoperative infection,4 increased same-day postoperative discharge rates,5 decreased postoperative complications,6 and decreased postoperative opioid requirements 7–9. Postoperative benefits with respect to complications10 and discharge rates5 make the use of RA an important anesthetic modality 11–13…”

Section: Introductionmentioning

confidence: 99%

Association of patient characteristics with the receipt of regional anesthesia

Beletsky

Currie

Shen

et al. 2023

Reg Anesth Pain Med

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BackgroundRegional anesthesia (RA) may improve patient-related outcomes, including decreased operative complications, shortened recovery times, and lower hospital readmission rates. More analyses are needed using a diverse set of databases to examine characteristics associated with the receipt of RA.MethodsA national hospital database was queried for patients 18 years or older who underwent total shoulder arthroplasty (TSA), total knee arthroplasty (TKA), anterior cruciate ligament reconstruction (ACLR), carpal tunnel release, ankle open reduction, and internal fixation and arteriovenous fistula creation between January 2016 and June 2021. Regional techniques included neuraxial anesthesia and various upper and lower extremity peripheral nerve blocks to create a binary variable of RA receipt. Univariate statistics were used to compare characteristics associated based on RA receipt and multivariable regression identified factors associated with RA receipt.ResultsA total of 51 776 patients were included in the analysis, of which 2111 (4.1%) received RA. Factors associated with decreased odds of RA receipt included black race (vs white race; OR 0.73, 95% CI 0.62 to 0.86), other non-white race (vs white race; OR 0.71, 95% CI 0.61 to 0.86), American Society of Anesthesiologists (ASA) class (vs ASA 1; OR 0.85, 95% CI 0.79 to 0.93), and Medicaid insurance (vs private insurance; OR 0.65, 95% CI 0.51 to 0.82) (all p<0.05). When compared with TKA, ACLR (OR 0.67, 95% CI 0.53 to 0.84), ankle open reduction and internal fixation (OR 0.68, 95% CI 0.58 to 0.81), and carpal tunnel release (OR 0.68, 95% CI 0.59 to 0.78) demonstrated lower odds of RA receipt, whereas TSA (OR 1.31, 95% CI 1.08 to 1.58) demonstrated higher odds of RA receipt (all p<0.05).ConclusionRA use varies with respect to race, insurance status, and type of surgery.

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Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block

Cited by 5 publications

References 5 publications

In Response

In Response

Anterior Glenoid Block as a Promising Piece of the Puzzle in Multimodal Analgesia After Shoulder Surgery

Association of patient characteristics with the receipt of regional anesthesia

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