Scapular surgery under combined thoracic paravertebral and interscalene blocks

Vadhanan, Prasanna; Bokka, Nikhilesh

doi:10.4103/ija.ija_825_20

Cited by 5 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are few reports on the management of patients undergoing scapular surgery after a traumatic fracture. One example utilized a combination of paravertebral block and an ipsilateral brachial plexus block via an interscalene approach was used (Vadhanan & Bokka, 2020). A second case report utilized a three‐injection technique to anesthetize the superior trunk of the cervical plexus.…”

Section: Discussionmentioning

confidence: 99%

Regional anesthesia for scapulothoracic fixation surgery: Anatomic review and case series

Espinoza

Niesen

2023

Clinical Anatomy

View full text Add to dashboard Cite

Scapulothoracic fixation surgery is a surgical intervention used for symptom relief in patients who suffer from scapular dysfunction. To date, there are few reports on the use of regional anesthesia for pain control in patients undergoing this procedure. The nerve supply of the scapula and surrounding tissues is complex and arises from both cervical and thoracic nerve roots. We suggest the use of a combined technique for perioperative pain control in patients undergoing scapulothoracic surgery. After a review of the relevant anatomy, we present four cases using combined regional techniques for postoperative pain control. The techniques utilized include thoracic paravertebral blocks with shoulder blockade, resulting in satisfactory pain control.

show abstract

Section: Discussionmentioning

confidence: 99%

Regional anesthesia for scapulothoracic fixation surgery: Anatomic review and case series

Espinoza

Niesen

2023

Clinical Anatomy

View full text Add to dashboard Cite

show abstract

“…The innervation of the scapular region is quite complex, involving the brachial plexus, superficial cervical plexus, and intercostal nerves [ 4 ] . More specifically, the scapula is innervated by the dorsal scapular (C5), upper and lower subscapular (C5-6), and suprascapular nerves (C5-6) [ 5 ] ( Fig. 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…Each space communicates with adjacent spaces, allowing the spread to multiple contiguous dermatomes [ 6 ] . Because the paravertebral nerve block covers both the ventral and dorsal rami, it produces a dense block with both motor and sensory blockades [ 5 ] . Additionally, the thoracic paravertebral space is continuous with the intercostal space laterally [ 6 ] .…”

Section: Discussionmentioning

confidence: 99%

Paravertebral block for analgesia following excision of osteochondroma of the scapula: A case report

Penta,

Saldanha,

Liu

2023

J Biomed Res

View full text Add to dashboard Cite

Scapular surgery has mainly been studied in the setting of fractures; regional anesthesia can be utilized as part of a multimodal analgesia regimen for postoperative pain relief. Previous studies are limited to scapular fracture pain. The available literature supports the use of various types of nerve blocks and even combinations of different blocks, of which the paravertebral nerve block is one such block that has been effective. We present a case of a patient undergoing excision of a scapular osteochondroma who received a single-shot paravertebral nerve block after surgery with an effective analgesia.

show abstract

“…With the advent of ultrasound, truncal blocks can be performed with more accuracy. [ 4 ] Paravertebral block (PVB) has been used for analgesia in thoracotomy, breast surgery, chest wall trauma, scapular surgery,[ 5 ] hernia repair or renal surgery. It is a commonly performed truncal block in VATS too.…”

Section: Introductionmentioning

confidence: 99%

Comparison of analgesic efficacy of the conventional approach and mid-transverse process to pleura approach of the paravertebral block in video-assisted thoracoscopy surgeries: A randomised controlled trial

et al. 2021

View full text Add to dashboard Cite

Background and Aims: The paravertebral block (PVB) is an effective alternative to thoracic epidural analgesia for post-operative analgesia in thoracic surgeries. Despite the use of ultrasound in PVB, the search for a safer approach continues. This study was conducted to compare the analgesic efficacy of conventional and mid-transverse process to the pleura (MTP) approach of the PVB. Methods: Forty patients aged between 18-60 years, posted for video-assisted thoracoscopic surgery, were enroled for this study. Patients were randomised into two groups using a random number table, and group allocation was done by the sealed opaque envelope method. One group received PVB by conventional approach (group CP). In contrast, patients in the other group (group MP) received PVB by the mid-transverse process to pleura (MTP) approach before induction of general anaesthesia under ultrasound guidance. The study's primary aim was to compare analgesic consumption in the first 24 hours. Secondary aims were comparing the Visual Analogue Scale (VAS) score, block performance time, dermatomal spread, haemodynamic parameters such as heart rate (HR), oxygen saturation (SpO 2 ), and non-invasive blood pressure (NIBP), patient satisfaction scores, and complications observed. Data were analysed using Statistical Package for the Social Sciences version 23. Results: Demographic parameters, block performance time, and dermatomal distribution were comparable in both groups. We did not find any statistical difference in the analgesic consumption in the first 24 hours ( P = 0.38), VAS at rest or on movement, complication rates, and patient satisfaction scores between the groups. Conclusion: The MTP approach of the PVB is as effective as the conventional thoracic paravertebral approach for post-operative analgesia in video-assisted thoracoscopic surgeries.

show abstract

Scapular surgery under combined thoracic paravertebral and interscalene blocks

Cited by 5 publications

References 4 publications

Regional anesthesia for scapulothoracic fixation surgery: Anatomic review and case series

Regional anesthesia for scapulothoracic fixation surgery: Anatomic review and case series

Paravertebral block for analgesia following excision of osteochondroma of the scapula: A case report

Comparison of analgesic efficacy of the conventional approach and mid-transverse process to pleura approach of the paravertebral block in video-assisted thoracoscopy surgeries: A randomised controlled trial

Contact Info

Product

Resources

About