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Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients

Patients with pre-existing pulmonary conditions are at risk for experiencing perioperative complications and increased morbidity. General anesthesia has historically been used for shoulder surgery, though regional anesthesia techniques are increasingly used to provide anesthesia and improved pain co...

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Autores principales: Lee, Bradley H., Qiao, William P., McCracken, Stephen, Singleton, Michael N., Goman, Mikhail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219177/
https://www.ncbi.nlm.nih.gov/pubmed/37240589
http://dx.doi.org/10.3390/jcm12103483
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author Lee, Bradley H.
Qiao, William P.
McCracken, Stephen
Singleton, Michael N.
Goman, Mikhail
author_facet Lee, Bradley H.
Qiao, William P.
McCracken, Stephen
Singleton, Michael N.
Goman, Mikhail
author_sort Lee, Bradley H.
collection PubMed
description Patients with pre-existing pulmonary conditions are at risk for experiencing perioperative complications and increased morbidity. General anesthesia has historically been used for shoulder surgery, though regional anesthesia techniques are increasingly used to provide anesthesia and improved pain control after surgery. Relative to regional anesthesia, patients who undergo general anesthesia may be more prone to risks of barotrauma, postoperative hypoxemia, and pneumonia. High-risk pulmonary patients, in particular, may be exposed to these risks of general anesthesia. Traditional regional anesthesia techniques for shoulder surgery are associated with high rates of phrenic nerve paralysis which significantly impairs pulmonary function. Newer regional anesthesia techniques have been developed, however, that provide effective analgesia and surgical anesthesia while having much lower rates of phrenic nerve paralysis, thereby preserving pulmonary function.
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spelling pubmed-102191772023-05-27 Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients Lee, Bradley H. Qiao, William P. McCracken, Stephen Singleton, Michael N. Goman, Mikhail J Clin Med Review Patients with pre-existing pulmonary conditions are at risk for experiencing perioperative complications and increased morbidity. General anesthesia has historically been used for shoulder surgery, though regional anesthesia techniques are increasingly used to provide anesthesia and improved pain control after surgery. Relative to regional anesthesia, patients who undergo general anesthesia may be more prone to risks of barotrauma, postoperative hypoxemia, and pneumonia. High-risk pulmonary patients, in particular, may be exposed to these risks of general anesthesia. Traditional regional anesthesia techniques for shoulder surgery are associated with high rates of phrenic nerve paralysis which significantly impairs pulmonary function. Newer regional anesthesia techniques have been developed, however, that provide effective analgesia and surgical anesthesia while having much lower rates of phrenic nerve paralysis, thereby preserving pulmonary function. MDPI 2023-05-16 /pmc/articles/PMC10219177/ /pubmed/37240589 http://dx.doi.org/10.3390/jcm12103483 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Lee, Bradley H.
Qiao, William P.
McCracken, Stephen
Singleton, Michael N.
Goman, Mikhail
Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients
title Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients
title_full Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients
title_fullStr Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients
title_full_unstemmed Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients
title_short Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients
title_sort regional anesthesia techniques for shoulder surgery in high-risk pulmonary patients
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219177/
https://www.ncbi.nlm.nih.gov/pubmed/37240589
http://dx.doi.org/10.3390/jcm12103483
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