Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients
Patients with pre-existing pulmonary conditions are at risk for experiencing perioperative complications and increased morbidity. General anesthesia has historically been used for shoulder surgery, though regional anesthesia techniques are increasingly used to provide anesthesia and improved pain co...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-05-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/10/3483 |
| _version_ | 1797599657558278144 |
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| author | Bradley H. Lee William P. Qiao Stephen McCracken Michael N. Singleton Mikhail Goman |
| author_facet | Bradley H. Lee William P. Qiao Stephen McCracken Michael N. Singleton Mikhail Goman |
| author_sort | Bradley H. Lee |
| collection | DOAJ |
| description | Patients with pre-existing pulmonary conditions are at risk for experiencing perioperative complications and increased morbidity. General anesthesia has historically been used for shoulder surgery, though regional anesthesia techniques are increasingly used to provide anesthesia and improved pain control after surgery. Relative to regional anesthesia, patients who undergo general anesthesia may be more prone to risks of barotrauma, postoperative hypoxemia, and pneumonia. High-risk pulmonary patients, in particular, may be exposed to these risks of general anesthesia. Traditional regional anesthesia techniques for shoulder surgery are associated with high rates of phrenic nerve paralysis which significantly impairs pulmonary function. Newer regional anesthesia techniques have been developed, however, that provide effective analgesia and surgical anesthesia while having much lower rates of phrenic nerve paralysis, thereby preserving pulmonary function. |
| first_indexed | 2024-03-11T03:37:20Z |
| format | Article |
| id | doaj.art-49805a49fdbd488fbaecbd29c25f98f1 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T03:37:20Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-49805a49fdbd488fbaecbd29c25f98f12023-11-18T01:53:47ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-011210348310.3390/jcm12103483Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary PatientsBradley H. Lee0William P. Qiao1Stephen McCracken2Michael N. Singleton3Mikhail Goman4Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY 10021, USADepartment of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY 10021, USADepartment of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY 10021, USADepartment of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY 10021, USADepartment of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY 10021, USAPatients with pre-existing pulmonary conditions are at risk for experiencing perioperative complications and increased morbidity. General anesthesia has historically been used for shoulder surgery, though regional anesthesia techniques are increasingly used to provide anesthesia and improved pain control after surgery. Relative to regional anesthesia, patients who undergo general anesthesia may be more prone to risks of barotrauma, postoperative hypoxemia, and pneumonia. High-risk pulmonary patients, in particular, may be exposed to these risks of general anesthesia. Traditional regional anesthesia techniques for shoulder surgery are associated with high rates of phrenic nerve paralysis which significantly impairs pulmonary function. Newer regional anesthesia techniques have been developed, however, that provide effective analgesia and surgical anesthesia while having much lower rates of phrenic nerve paralysis, thereby preserving pulmonary function.https://www.mdpi.com/2077-0383/12/10/3483diaphragm-sparingphrenic nerve sparingshoulder surgerybrachial plexus blockCOPD |
| spellingShingle | Bradley H. Lee William P. Qiao Stephen McCracken Michael N. Singleton Mikhail Goman Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients Journal of Clinical Medicine diaphragm-sparing phrenic nerve sparing shoulder surgery brachial plexus block COPD |
| title | Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients |
| title_full | Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients |
| title_fullStr | Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients |
| title_full_unstemmed | Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients |
| title_short | Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients |
| title_sort | regional anesthesia techniques for shoulder surgery in high risk pulmonary patients |
| topic | diaphragm-sparing phrenic nerve sparing shoulder surgery brachial plexus block COPD |
| url | https://www.mdpi.com/2077-0383/12/10/3483 |
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