Superior Trunk Block Catheter and 2% Chloroprocaine as a Phrenic Sparing Approach for Awake Arthroscopic Acromioclavicular Joint Surgery: A Case Report.

Autor: Wou F; Anesthesiology and Critical Care, Frimley Health National Health Service (NHS) Foundation Trust, Surrey, GBR., Narayanan M; Anesthesiology and Critical Care, Frimley Health National Health Service (NHS) Foundation Trust, Surrey, GBR.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Mar 07; Vol. 16 (3), pp. e55761. Date of Electronic Publication: 2024 Mar 07 (Print Publication: 2024).
DOI: 10.7759/cureus.55761
Abstrakt: Regional anaesthesia for shoulder surgery remains challenging in patients with pre-existing respiratory comorbidities. Various alternative phrenic sparing techniques have been described in the literature, but to our knowledge, none have explored the benefits of using short-acting local anaesthetics in combination to achieve surgical anaesthesia for awake surgery. This case report describes the successful use of the superior trunk block catheter, a relative phrenic sparing shoulder nerve block, and 2% chloroprocaine, a short-acting local anaesthetic, to provide surgical anaesthesia for awake shoulder surgery in a patient with severe respiratory disease.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Wou et al.)
Databáze: MEDLINE