title: Suprascapular nerve block prolongs analgesia after nonarthroscopic shoulder surgery but does not improve outcome.
abstract: Suprascapular nerve block (SSNB) reportedly improves analgesia and 24-h outcomes after arthroscopic shoulder surgery performed under general anesthesia. In this study, we assessed the analgesic and clinical outcome efficacy of SSNB as an adjunct to interscalene brachial plexus block (ISB) for ambulatory nonarthroscopic shoulder surgery. Fifty patients were randomized to receive either a SSNB or sham injection as part of a standardized ISB-general anesthesia regimen. Time to first significant pain (the primary outcome measure) was significantly delayed in the SSNB group (594 +/- 369 min versus 375 +/- 273 min, respectively; P = 0.02). There were no other differences between groups with regard to postanesthesia recovery unit measures, 24-h assessment of pain, supplemental analgesic use, or quality of life outcomes. We conclude that adjunctive SSNB adds minimal value to a primary ISB anesthetic for nonarthroscopic shoulder surgery.
  
  
  CONCLUSIONS
  When used as an adjunct to an interscalene block combined with general anesthesia, suprascapular nerve block with bupivacaine moderately prolongs analgesia without improving other outcome measures after ambulatory nonarthroscopic shoulder surgery.
authors.affiliation: *Department of Anesthesiology, Virginia Mason Medical Center; and †The Mountain-Whisper-Light Statistical Consulting, Seattle, Washington.
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Neal
authors.forename: Susan B
authors.initials: SB
authors.lastname: McDonald
authors.forename: Kathleen L
authors.initials: KL
authors.lastname: Larkin
authors.forename: Nayak L
authors.initials: NL
authors.lastname: Polissar
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures; D000762:Anesthesia Recovery Period; D001917:Brachial Plexus; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D019637:Orthopedic Procedures; D010147:Pain Measurement / Q000187:drug effects; D010149:Postoperative Pain / Q000517:prevention & control*; D011184:Postoperative Period; D012782:Shoulder / Q000601:surgery*; D012890:Sleep / Q000187:drug effects; D013997:Time Factors; D016896:Treatment Outcome