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231225s2022 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2021.08.008
|2 doi
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|a pubmed25n1122.xml
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|a DE-627
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|e rakwb
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|a eng
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1 |
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|a Takayama, Kazumasa
|e verfasserin
|4 aut
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|a Ultrasound-guided interscalene block anesthesia performed by an orthopedic surgeon
|b a study of 1322 cases of shoulder surgery
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|c 2022
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
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|a ƒa Online-Ressource
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|a Date Revised 01.05.2022
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2021 The Author(s).
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|a BACKGROUND: Interscalene blocks are becoming increasingly common for shoulder surgeries. This study primarily aimed to demonstrate the efficacy and complications and the secondarily to investigate the anesthesia-related time and patient satisfaction of an ultrasound-guided interscalene block performed by an orthopedic surgeon
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|a METHODS: We retrospectively reviewed the medical records of 1322 consecutive patients (arthroscopic, 1225 cases; open, 97 cases) with a mean age of 64.2 years, who underwent shoulder surgery (arthroscopic or opensurgery) under an ultrasound-guided interscalene block performed by an orthopedic surgeon at a single institution between December 2012 and December 2019. We investigated patient satisfaction, block success rates, and complications and also compared the anesthesia-related time of an interscalene block with that of general anesthesia (428 cases, arthroscopic, 257 cases; open, 171 cases) for shoulder surgery with patients in the beach chair position during the same period. Difference between total anesthesia time and surgical time was defined as anesthesia-related time
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|a RESULTS: Approximately 98.3% of patients were satisfied with an interscalene block, and the block success rate on the first attempt was 99.9%. Total complication incidence was 2.3%, with no recorded life-threatening complications. Anesthesia-related times were significantly shorter in the interscalene block group than those in the general anesthesia group (45 ± 14 min vs. 100 ± 26 min, P < .001)
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|a CONCLUSION: An ultrasound-guided interscalene block performed by an orthopedic surgeon for shoulder surgery is effective and safe, requires less time, and has a high patient acceptance rate, making it a feasible and alternative to the block performed by anesthesiologists
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|a Journal Article
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|a Anesthesia
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|a Interscalene block
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|a Nerve block
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|a Orthopedic surgeon
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|a Shoulder surgery
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|a Ultrasound
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1 |
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|a Shiode, Hayao
|e verfasserin
|4 aut
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700 |
1 |
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|a Ito, Hiromu
|e verfasserin
|4 aut
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773 |
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|i Enthalten in
|t JSES international
|d 2020
|g 6(2022), 1 vom: 18. Jan., Seite 149-154
|w (DE-627)NLM307818438
|x 2666-6383
|7 nnas
|
773 |
1 |
8 |
|g volume:6
|g year:2022
|g number:1
|g day:18
|g month:01
|g pages:149-154
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|u http://dx.doi.org/10.1016/j.jseint.2021.08.008
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