A PEER-REVIEWED JOURNAL OF RESEARCH AND CLINICAL MEDICINEISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Anesthetic Management of Shoulder Arthroscopy: Problems and Prospects

For citation: Krylov S. V., Pasechnik I. N., Ukolov K. Yu., Timchenko D. O. Anesthetic Management of Shoulder Arthroscopy: Problems and Prospects. Doctor.Ru. 2017; 6(135): 36–42.

Objective of the Review: To describe state-of-the art anesthetic management of shoulder arthroscopy.

Key Points: Today arthroscopic surgical procedures are the main treatment for traumatic injuries to the shoulder ligaments. These interventions provide good outcomes, but are associated with severe postoperative pain.

Regional anesthesia is viewed around the world as a promising approach to perioperative pain management in patients undergoing shoulder arthroscopy. (This review describes the axillary, supraclavicular, infraclavicular, and interscalene approaches to the brachial plexus and different block types used in each of these approaches.) Interscalene block provides a high level of pain control in patients undergoing this surgery. It has been suggested that a combination of interscalene block and general anesthesia could be an optimal strategy, but this approach requires further evaluation.

Conclusion: A more detailed evaluation of approaches to anesthetic management of shoulder arthroscopy will improve the efficacy of pain treatment and patient satisfaction with anesthesia, reduce the rate of complications, and contribute to early rehabilitation.

S. V. Krylov — N. N. Priorov Central Research Institute of Traumatology and Orthopedics, Russian Ministry of Health, Moscow. Central State Medical Academy under the Administrative Department of the President of the Russian Federation, Moscow. E-mail: doc087@inbox.ru

I. N. Pasechnik — Central State Medical Academy under the Administrative Department of the President of the Russian Federation, Moscow. E-mail: pasigor@yandex.ru

K. Yu. Ukolov — N. N. Priorov Central Research Institute of Traumatology and Orthopedics, Russian Ministry of Health, Moscow. E-mail: doc087@inbox.ru

D. O. Timchenko — N. N. Priorov Central Research Institute of Traumatology and Orthopedics, Russian Ministry of Health, Moscow. E-mail: doc087@inbox.ru

Доктор.ру
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