title: A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery.
abstract: Effective pain therapy after shoulder surgery is the main prerequisite for safe management in an ambulatory setting. We evaluated adverse events and hospital re-admission using a database of 509 interscalene catheters inserted during ambulatory shoulder surgery. Adverse events were recorded for 34 (6.7%) patients (9 (1.8%) catheter dislocations diagnosed in the recovery room, 9 (1.8%) catheter dislocations at home with pain, 2 (0.4%) pain without catheter dislocation, 1 (0.2%) 'secondary' pneumothorax without intervention and 13 (2.6%) other). Twelve (2.4%) patients were re-admitted to hospital (8 (1.6%) for pain, 2 (0.4%) for dyspnoea and 2 (0.4%) for nausea and vomiting), 9 of whom had rotator cuff repair. A well-organised infrastructure, optimally trained medical professionals and appropriate patient selection are the main prerequisites for the safe, effective implementation of ambulatory interscalene catheters in routine clinical practice.
authors.affiliation: Medical University of Vienna, Vienna, Austria.
authors.forename: P
authors.initials: P
authors.lastname: Marhofer
authors.forename: W
authors.initials: W
authors.lastname: Anderl
authors.forename: P
authors.initials: P
authors.lastname: Heuberer
authors.forename: M
authors.initials: M
authors.lastname: Fritz
authors.forename: O
authors.initials: O
authors.lastname: Kimberger
authors.forename: D
authors.initials: D
authors.lastname: Marhofer
authors.forename: W
authors.initials: W
authors.lastname: Klug
authors.forename: J
authors.initials: J
authors.lastname: Blasl
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000379:methods; D065527:Brachial Plexus Block / Q000009:adverse effects* / Q000379:methods; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods; D016208:Databases, Factual; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control; D010359:Patient Readmission / Q000706:statistics & numerical data; D011183:Postoperative Complications; D012189:Retrospective Studies; D012782:Shoulder / Q000601:surgery*; D055815:Young Adult