Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · May 2021
A combination of infraclavicular and suprascapular nerve blocks for total shoulder arthroplasty: a case series.
Shoulder arthroplasty is associated with significant post-operative pain. Interscalene plexus block is the gold standard for pain management in patients undergoing this surgery, however, alternatives are currently being developed. We hypothesized that a combination of anterior suprascapular nerve block and lateral sagittal infraclavicular block would provide effective post-operative analgesia. Primary aims for this study were to document numeric rating scale (NRS) pain score and use of oral morphine equivalents (OMEq) during the first 24 hours after surgery. Secondary aim was to determine the incidence of hemidiaphragmatic paralysis. ⋯ The combination of suprascapular and infraclavicular nerve block shows an encouraging post-operative analgesic profile and a low risk for hemidiaphragmatic paralysis after total shoulder arthroplasty.
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Acta Anaesthesiol Scand · May 2021
Weekend admission and mortality among patients with sepsis: A nationwide cohort study in South Korea.
This study aimed to investigate whether weekend admission was associated with a higher risk of 90-day mortality in patients with sepsis. ⋯ Using the national health claims database in South Korea, we showed that weekend admission for diagnosed sepsis was associated with an increased risk of 90-day mortality, compared to that for weekday admission. This might be due to the higher severity of illness in patients with sepsis admitted during the weekend or relatively lesser hospital staff during the weekend.