title: [Shoulder surgery using only regional anaesthesia].
abstract: Effective intra-operative anaesthesia and peri-operative analgesia are important aspects of patient care in orthopaedic surgery. The interscalene regional anaesthetic block technique, performed with the patient lying in a lateral decubitus position, is new for arthroscopic shoulder surgery conducted in the Netherlands. The combination of the interscalene block (without general anaesthesia) and the lateral decubitus position results in better peri-operative conditions for the patient. Better analgesia, increased patient satisfaction and fewer complications in comparison to general anaesthesia have been reported for these types of surgery.
authors.affiliation: HagaZiekenhuis, locatie Sportlaan, Afd. Orthopedie, Den Haag, the Netherlands. clairetilbury@live.nl
authors.forename: Claire
authors.initials: C
authors.lastname: Tilbury
authors.forename: Paulien M
authors.initials: PM
authors.lastname: van Kampen
authors.forename: Tom A M M
authors.initials: TA
authors.lastname: Offenberg
authors.forename: Tom
authors.initials: T
authors.lastname: Hogervorst
authors.forename: Pol E
authors.initials: PE
authors.lastname: Huijsmans
mesh_terms: D000698:Analgesia; D000765:Anesthesia, Conduction / Q000379:methods*; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007432:Intraoperative Period; D010149:Postoperative Pain / Q000517:prevention & control*; D011187:Posture; D012782:Shoulder / Q000601:surgery*; D012785:Shoulder Joint / Q000294:innervation / Q000601:surgery