Open AccessInterscalene Block for Analgesia in Orthopedic Treatment of Shoulder Trauma: Single-Dose Liposomal Bupivacaine versus Perineural Catheter
Author(s) -
Andrzej P. Kwater,
Nadia Hernandez,
Carlos A. Artime,
Johanna Blair de Haan
Publication year - 2021
Publication title -
local and regional anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.679
H-Index - 17
ISSN - 1178-7112
DOI - 10.2147/lra.s303455
Subject(s) - medicine , anesthesia , bupivacaine , shoulder surgery , perioperative , brachial plexus , opioid , catheter , brachial plexus block , surgery , orthopedic surgery , local anesthetic , analgesic , receptor
Interscalene brachial plexus block is frequently utilized to provide perioperative analgesia to patients undergoing shoulder surgery to optimize recovery, minimize opioid consumption, and decrease overall hospital length of stay. The use of an indwelling perineural interscalene catheter provides extended analgesia and is efficacious in managing severe postoperative pain following major shoulder surgery. Currently, the only alternative to perineural catheters for extended analgesia with interscalene block involves the perineural infiltration of liposomal bupivacaine. However, there is limited published data regarding the overall analgesic effectiveness of using interscalene liposomal bupivacaine in the setting of shoulder surgery.