Suprascapular nerve catheter and axillary nerve block in arthroscopic shoulder surgery on chronic spinal cord injury patient

SATO Makoto, SASAKAWA Tomoki, ONODERA Yoshiko, KUNISAWA Takayuki

doi:10.11321/jjspc.15-0026

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頸髄損傷患者の肩関節手術において超音波ガイド下持続肩甲上神経ブロックおよび腋窩神経ブロックが有用であった1症例
ケイズイソンショウカンジャノカタカンセツシュジュツニオイテチョウオンパガイドカジゾクケンコウジョウシンケイブロックオヨビエキカシンケイブロックガユウヨウデアッタ 1 ショウレイ

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Abstract

Arthroscopic shoulder surgeries cause severe postoperative pain. The interscalene block technique is a gold standard and more effective in controlling postoperative pain. However, it may eventually be associated with some critical complications. We reported a regional anesthesia that combines ultrasound-guided continuous suprascapular nerve catheter (SNC) and axillary nerve block (ANB) in arthroscopic shoulder surgery in a patient who had chronic spinal cord injury at C5-C6. Before surgery, ultrasound-guided SNC and ANB were performed using a high-frequency linear ultrasound probe. 15 ml of 0.5% ropivacaine was injected in each. During surgery, patients were intubated, and general anesthesia was performed with sevoflurane, fentanyl, and remifentanil (0.05-0.1 µg/kg/min). The patients did not require an increase of infusion rate of remifentanil during the surgical procedure. No serious complications occurred, and postoperative pain control was effective during the observation time. In conclusion, combining SNC and ANB is an effective and safe technique with intraoperative anesthesia and postoperative analgesia for certain procedures of arthroscopic shoulder surgery.

Journal

Journal of Japan Society of Pain Clinicians

Journal of Japan Society of Pain Clinicians 23 (1), 37-40, 2016

Japan Society of Pain Clinicians

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