Interscalene regional anesthesia for arthroscopic shoulder surgery: A safe and effective technique

A prospective analysis of interscalene brachial plexus blocks performed under general anesthesia

“…12 Bishop et al had a 2.3% neurological complication rate, all of which resolved by 6 months. 4,5 In all of those reports, the block was performed on nonanesthetized patients. Although some authors have expressed the opinion that such blocks should not be performed on anesthetized patients, there have been no published studies demonstrating any data to confirm that the complication rate or success rate in that situation is actually any different than when the block is performed on nonanesthetized patients.…”

Efficacy and Safety of Combined Subacromial and Intravenous Patient-controlled Analgesia after Arthroscopic Rotator Cuff Repair

“…[13][14][15] A study of patient-controlled subacromial pain pumps showed a 34% reduction on the VAS, but no change in the amount of oral opioid use. 16) In another study, use of the subacromial infusion pump resulted in shorter recovery room stays but made no difference in pain, narcotic use, or postoperative range of motion of the shoulder joint.…”

Safety of opioid patch initiation in Australian residential aged care

“…Interscalene plexus block provided safe and effective analgesia after ambulatory shoulder surgery (Bishop et al, 2006 Level IV; Faryniarz et al, 2006 Level IV). For hand and wrist surgery, infraclavicular nerve blocks with propofol sedation, compared with general anaesthesia followed by local anaesthetic wound infiltration, resulted in less postoperative pain, less nausea, earlier ambulation and earlier hospital discharge.…”