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Anesth Pain Med.  2023 Jan;18(1):5-10. 10.17085/apm.22254.

Recent updates on interscalene brachial plexus block for shoulder surgery

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Interscalene brachial plexus block (ISBPB) provides optimal analgesia for shoulder surgery. However, several limitations still exist, including the short duration of analgesia, rebound pain, a high incidence of unilateral diaphragmatic paresis, and potential risk of nerve damage, prompting the search for alternative techniques. Many alternatives to ISBPB have been studied to alleviate these concerns, and clinicians should choose an appropriate option based on the patient’s condition. In this mini-review, we aimed to present recent updates on ISBPB while discussing our clinical experiences in shoulder surgery.

Keyword

Brachial plexus; Interscalene brachial plexus block; Peripheral nerve block; Regional anesthesia; Shoulder surgery
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