Title |
Respiratory Impact of Analgesic Strategies for Shoulder Surgery
|
---|---|
Published in |
Regional Anesthesia & Pain Medicine, January 2013
|
DOI | 10.1097/aap.0b013e318272195d |
Pubmed ID | |
Authors |
Peter Verelst, André van Zundert |
Abstract |
Shoulder surgery is associated with significant postoperative pain in many patients. The use of an interscalene nerve block offers good analgesia but is associated with a high incidence of an ipsilateral phrenic nerve block. Several strategies to avoid this adverse effect have been studied. Possible strategies are (1) using very low volumes of local anesthetics, (2) targeting the brachial plexus at a lower level in the neck, (3) applying a suprascapular nerve block, and (4) applying the combination of a suprascapular and an axillary nerve block. Using systemic analgesics is a less favorable strategy because this may result in less potent analgesia and may cause more adverse effects, including respiratory depression and nausea. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 50% |
United States | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Germany | 1 | 1% |
Unknown | 76 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 13 | 17% |
Researcher | 11 | 14% |
Student > Doctoral Student | 11 | 14% |
Student > Ph. D. Student | 6 | 8% |
Student > Master | 6 | 8% |
Other | 18 | 23% |
Unknown | 12 | 16% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 50 | 65% |
Nursing and Health Professions | 7 | 9% |
Computer Science | 3 | 4% |
Agricultural and Biological Sciences | 2 | 3% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 1% |
Other | 3 | 4% |
Unknown | 11 | 14% |