title: Interscalene block for shoulder arthroscopy: comparison with general anesthesia.
abstract: Arthroscopic shoulder surgery can be performed under regional or general anesthesia. The objective of this study was to demonstrate that regional anesthesia has several benefits over general anesthesia for this type of surgery, particularly in the ambulatory patient. Forty patients received general anesthesia and 63 an interscalene block. The regional block was found to be safe and effective, with a high degree of patient acceptance. It provided excellent intraoperative analgesia and muscle relaxation. Postoperatively, regional anesthesia resulted in fewer side effects, fewer hospital admissions, and a shorter hospital stay than did general anesthesia.
authors.affiliation: Department of Anesthesiology, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York.
authors.forename: A R
authors.initials: AR
authors.lastname: Brown
authors.forename: R
authors.initials: R
authors.lastname: Weiss
authors.forename: C
authors.initials: C
authors.lastname: Greenberg
authors.forename: E L
authors.initials: EL
authors.lastname: Flatow
authors.forename: L U
authors.initials: LU
authors.lastname: Bigliani
mesh_terms: D000293:Adolescent; D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects; D001182:Arthroscopy; D001917:Brachial Plexus; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000009:adverse effects; D012785:Shoulder Joint / Q000601:surgery*