• The Ochsner journal · Jan 2014

    Analgesic efficacy and technique of ultrasound-guided suprascapular nerve catheters after shoulder arthroscopy.

    • Hesham A Elsharkawy, Alaa A Abd-Elsayed, Kenneth C Cummings, and Loran Mounir Soliman.
    • Department of Outcomes Research, Cleveland Clinic, Cleveland, OH ; Department of General Anesthesiology, Cleveland Clinic, Cleveland, OH.
    • Ochsner J. 2014 Jan 1;14(2):259-63.

    BackgroundConventional approaches to brachial plexus blocks may not cover the suprascapular nerve. Accordingly, after shoulder arthroscopy, sensation from the posterior part of the shoulder is commonly spared. Most previous research involving suprascapular nerve blocks described single-injection techniques. However, with the widespread availability and fairly reasonable cost of disposable infusion pumps, continuous catheter techniques provide a more appealing method of prolonging postoperative analgesia.Case ReportWe describe 2 patients who were successfully treated with ultrasound-guided continuous suprascapular nerve catheters. With the patient seated, a high-frequency linear ultrasound probe was used. Both patients experienced excellent pain relief without complications.ConclusionContinuous suprascapular catheter techniques provide good pain relief and improve postoperative analgesia after shoulder arthroscopy.

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