Combined suprascapular nerve block and selective lateral and posterior cord infraclavicular block for reverse total shoulder arthroplasty: A case report

Interscalene blocks (ISB) are considered the gold standard for analgesia in shoulder surgery. Although effective, ISB can cause phrenic nerve blockade (PNB) and hemidiaphragmatic paralysis (HDP) [1]. In patients with pulmonary comorbidities, HDP can lead to significant respiratory complications [2]. A search for “diaphragm-sparing” blocks is therefore appropriate for these patients.

Source: Journal of Clinical Anesthesia - August 3, 2018 Category: Anesthesiology Authors: Denise Cinquegrana, Tiffany Chu, Edward George McFarland, Marie Naguib Hanna, Jonathan Dun-Chi Lin Tags: Correspondence Source Type: research