Continuous Suprascapular Nerve Block With a Perineural Catheter for Reverse Shoulder Arthroplasty Rescue Analgesia in a Patient With Severe Chronic Obstructive Pulmonary Disease.
Reverse open shoulder arthroplasty requires a comprehensive analgesic plan involving regional anesthesia. The commonly performed interscalene brachial plexus blockade confers a high likelihood of diaphragmatic paralysis via phrenic nerve palsy, making this option riskier in patients with limited pulmonary reserve. Continuous blockade of the suprascapular nerve, a more distal branch of the C5 and C6 nerve roots, may be a viable alternative. We report a successful case of the use of a suprascapular nerve block with continuous programmed intermittent bolus perineural analgesia in a patient with severe chronic obstructive pulmonary disease who underwent reverse open shoulder arthroplasty.
From the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California.
Matthew
M
Careskey
Ramana
R
Naidu
D000368:Aged; D000698:Analgesia / Q000379:methods*; D000072228:Arthroplasty, Replacement, Shoulder / Q000009:adverse effects*; D002406:Catheterization, Peripheral / Q000379:methods*; D058492:Drug Repositioning / Q000379:methods*; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000000981:diagnostic imaging / Q000188:drug therapy; D029424:Pulmonary Disease, Chronic Obstructive / Q000000981:diagnostic imaging / Q000601:surgery*; D012720:Severity of Illness Index