Shoulder surgery in beach chair position causing perioperative stroke: Four cases and a review of the literature

Erp, Joost H J van; Ostendorf, Marieke; Lansdaal, J.R.

doi:10.1016/j.jor.2019.05.009

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…However, since the posterolateral branch of the shoulder also receives sensory branches from the thoracic nerve, the arthroscopic port entrance in this area may cause pain in the patient during arthroscopic surgery [ 5 , 6 ]. Relevant studies have found that ultrasound-guided anterior saw muscle plane block can achieve good anterior lateral chest wall analgesia by injecting local anesthetics into the anterior saw muscle and blocking the lateral cutaneous branch of intercostal nerve, which has a significant analgesic effect on patients undergoing thoracoscopy [ 7 , 8 ]. However, its clinical effect in arthroscopic shoulder surgery is not very clear at present.…”

Section: Introductionmentioning

confidence: 99%

The Anesthetic Effect of Ultrasound-Guided Serratus Anterior Plane Block in Arthroscopic Shoulder Surgery and Its Effect on Postoperative Analgesia

Zhang

Zhu²,

Yan

2022

Journal of Healthcare Engineering

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Objective. To investigate the anesthetic effect of anterior serratus muscle plane block under ultrasound guidance in arthroscopic shoulder surgery and its effect on postoperative analgesia. Methods. A total of 94 patients who received arthroscopic shoulder surgery in our hospital were selected as the research subjects, and they were divided into a control group and a study group according to the random number table method. The control group underwent brachial plexus block under ultrasound guidance, and the study group underwent anterior serratus plane block under ultrasound guidance. The visual analogue score (VAS) of pain at each time point, intraoperative anesthetic dosage, the use of postoperative analgesic, pain mediators and oxidative stress factors before and after surgery, and the occurrence of adverse reactions were compared between the two groups after surgery. Results. At 6, 12, 48, and 72 h after surgery, there was no obvious difference in the VAS score between the two groups ( P > 0.05 ); 24 h after surgery, the VAS score of the study group was significantly lower than that of the control group ( P < 0.05 ). The intraoperative dosage of propofol and remifentanil in the study group was significantly lower than that in the control group ( P < 0.05 ). The number of effective compressions of analgesic pump and the total amount of sufentanil in the study group were significantly lower than those in the control group within 48 hours after operation, and the time of first compressions of analgesic pump was significantly longer than that in the control group ( P < 0.05 ). Before surgery, there were no significant differences in CGRP, NPY, and MDA levels and SOD enzyme activity between the two groups ( P > 0.05 ). After surgery, the levels of pain mediators CGRP and NPY in the study group were lower than those in the control group ( P < 0.05 ). The level of MDA was lower than that of the control group, and SOD enzyme activity was higher than that of the control group ( P < 0.05 ). There was no significant difference in the incidence of adverse reactions between the two groups ( P > 0.05 ). Conclusion. Ultrasound-guided anterior serratus plane block for arthroscopic shoulder surgery has a good anesthesia effect and long action time. It can significantly reduce the dosage of opioids, enhance the postoperative analgesic effect, effectively inhibit postoperative pain and oxidative stress reaction, and has good safety.

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Section: Introductionmentioning

confidence: 99%

The Anesthetic Effect of Ultrasound-Guided Serratus Anterior Plane Block in Arthroscopic Shoulder Surgery and Its Effect on Postoperative Analgesia

Zhang

Zhu²,

Yan

2022

Journal of Healthcare Engineering

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“…As a review of the field literature shows, it is well known that the beachchair position for shoulder arthroplasty is associated with hypotension that can cause cerebral hypoperfusion [11][12]. Prolonged severe cerebral hypoperfusion can bring permanent neurological damage [13]. In patients under general anesthesia, advanced monitoring techniques such as near-infrared spectroscopy are required to evaluate cerebral perfusion [14].…”

Section: Discussionmentioning

confidence: 99%

Does the Serratus Plane Block Added to the Interscalene Block Improve the Quality of Anesthesia in Arthroscopic Shoulder Surgery? A Prospective Randomized Study

Demir¹,

Yayık²,

Köse³

et al. 2020

Cureus

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Total shoulder arthroplasty in patients with a history of cerebrovascular accident: a matched case–control study

Neel,

Bennfors,

Jacobson

et al. 2024

Seminars in Arthroplasty: JSES

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Shoulder surgery in beach chair position causing perioperative stroke: Four cases and a review of the literature

Cited by 4 publications

References 12 publications

The Anesthetic Effect of Ultrasound-Guided Serratus Anterior Plane Block in Arthroscopic Shoulder Surgery and Its Effect on Postoperative Analgesia

The Anesthetic Effect of Ultrasound-Guided Serratus Anterior Plane Block in Arthroscopic Shoulder Surgery and Its Effect on Postoperative Analgesia

Does the Serratus Plane Block Added to the Interscalene Block Improve the Quality of Anesthesia in Arthroscopic Shoulder Surgery? A Prospective Randomized Study

Total shoulder arthroplasty in patients with a history of cerebrovascular accident: a matched case–control study

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