title: Interscalene block for shoulder surgery in physician-owned community ambulatory surgery centers.
abstract: OBJECTIVE
  To retrospectively report on a series of patients who had interscalene block regional anesthesia performed for outpatient open and arthroscopic shoulder surgical procedures in a community-based ambulatory surgery center setting.
  
  
  METHODS
  We reviewed the cases of 1,945 patients who had interscalene block regional anesthesia performed during an 8-year period.
  
  
  RESULTS
  The complication rate was 0.63%, with all complications occurring in the immediate postoperative period, none of which were permanent.
  
  
  CONCLUSIONS
  With an expert, experienced anesthesia team, the interscalene block can be a safe method (temporary complication rate, 0.63%) of intraoperative anesthesia and perioperative analgesia for outpatient open and arthroscopic shoulder surgery in physician-owned ambulatory surgery centers.
  
  
  METHODS
  Level IV, therapeutic case series.
authors.affiliation: Summit Orthopedics, St. Paul, Minnesota 55102, USA. bertx001@tc.umn.edu
authors.forename: Jack M
authors.initials: JM
authors.lastname: Bert
authors.forename: Eric
authors.initials: E
authors.lastname: Khetia
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Dubbink
mesh_terms: D000577:Amides / Q000008:administration & dosage / Q000009:adverse effects; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects; D001182:Arthroscopy; D001917:Brachial Plexus; D003153:Community Health Services; D005260:Female; D006801:Humans; D007193:Independent Practice Associations; D008297:Male; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D000077212:Ropivacaine; D012785:Shoulder Joint / Q000601:surgery*; D013531:Surgicenters / Q000706:statistics & numerical data
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine