NDLI: Review of interscalene block for postoperative analgesia after shoulder surgery in obese patients.

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Review of interscalene block for postoperative analgesia after shoulder surgery in obese patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Al-Nasser, Bassam
Description	Country affiliation: France Author Affiliation: Al-Nasser B ( Department of Anesthesia and Intensive Care, Clinique du Parc Saint Lazare, Beauvais, France. balnasser@orange.fr)
Abstract	In recent years, the prevalence of obesity has significantly increased in developed countries, a trend that has been just as apparent in France as elsewhere. Obesity may predispose to osteoarthritis, which may subject a high percentage of patients to shoulder surgery. Interscalene block remains one of the most efficient technique for postoperative analgesia after shoulder surgery. However, there are no specific guidelines or discussions in the literature about the use and management of interscalene block for obese patients. No study has yet specifically assessed obesity relative to interscalene block. Regional anesthesia offers certain advantages in obese patients: minimal airway intervention, improved postoperative analgesia, and decreased opioid consumption. In obese patients undergoing shoulder surgery, the goal of postoperative pain management is to provide comfort, early mobilization, and improved respiratory function without the worry of inadequate sedation and respiratory compromise. The ongoing debate on the relevance of obesity, for example in terms of obstructive sleep apnea syndrome, obesity hypoventilation syndrome, and other related respiratory disturbances, in relation to the choice of analgesic techniques, especially interscalene block, patient-controlled intravenous analgesia and patient monitoring, demands large-scale, well-designed studies to resolve it. Nevertheless, obesity per se should not dissuade patients from undergoing shoulder surgery under interscalene block.
File Format	HTM / HTML
ISSN	18754597
e-ISSN	1875452X
Journal	Acta Anaesthesiologica Taiwanica
Issue Number	1
Volume Number	50
Language	English
Publisher	Elsevier
Publisher Date	2012-03-01
Access Restriction	Open
Subject Keyword	Discipline Anesthesiology Nerve Block Obesity Complications Pain, Postoperative Therapy Surgery Physiopathology Patient Positioning Ultrasonography, Interventional
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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