title: Patient acceptance of interscalene block for shoulder surgery.
abstract: OBJECTIVE
  Regional anesthesia can be applied to shoulder surgery with an expected high success rate. To determine the level of patient satisfaction with regional anesthesia, we studied a group of patients who had undergone shoulder surgery more than once, with general anesthesia on one occasion and regional on another.
  
  
  METHODS
  Twenty-five consecutive patients with prior shoulder surgery under general anesthesia (GA) willing to receive interscalene brachial plexus anesthesia (ISB) were identified. On postoperative day one, a questionnaire was administered. Data were evaluated with McNemar's test and chi-square analysis and considered significant at p < 0.05.
  
  
  RESULTS
  There were no differences in sedation or patient preparation between GA and ISB. ISB was tolerable during placement, and no patients complained of being aware or inadequately sedated. With ISB, there was better recovery room pain control, less nausea, and less vomiting. Overall, the patients preferred ISB.
  
  
  CONCLUSIONS
  Interscalene brachial plexus block is well accepted by patients for reconstructive shoulder surgery.
authors.affiliation: Department of General Anesthesia, Cleveland Clinic Foundation, Ohio 44195.
authors.forename: J E
authors.initials: JE
authors.lastname: Tetzlaff
authors.forename: H J
authors.initials: HJ
authors.lastname: Yoon
authors.forename: J
authors.initials: J
authors.lastname: Brems
mesh_terms: D000765:Anesthesia, Conduction; D000768:Anesthesia, General / Q000009:adverse effects; D001917:Brachial Plexus; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods; D010342:Patient Acceptance of Health Care; D012785:Shoulder Joint / Q000601:surgery*; D011795:Surveys and Questionnaires