Journal article
The Use of cervical paravertebral block as the sole anesthetic for shoulder surgery in a morbid patient: a case report
Regional anesthesia and pain medicine, Vol.29(3), pp.227-229
05/01/2004
DOI: 10.1016/j.rapm.2003.12.012
PMID: 15138907
Abstract
The purpose of this case report is to describe the use of the cervical paravertebral block as the sole anesthetic for shoulder surgery in a patient unable to tolerate general anesthesia. Recent literature describes the continuous cervical paravertebral block as an effective alternative to the interscalene block for the management of postoperative pain after shoulder surgery.
An 85-year-old man with severe respiratory and cardiac disease presented for major shoulder surgery. The patient’s complex medical history required an anesthetic technique that would avoid general anesthesia and preserve phrenic nerve function. This case report describes, to our knowledge, the first successful use of the continuous cervical paravertebral block as the sole anesthetic for shoulder surgery.
Continuous cervical paravertebral block provided excellent surgical conditions and postoperative pain relief for this patient and allowed gradual and intermittent dosing of the catheter and continuous assessment of the anesthetic impact on respiratory function.
Details
- Title: Subtitle
- The Use of cervical paravertebral block as the sole anesthetic for shoulder surgery in a morbid patient: a case report
- Creators
- Robert Koorn - University of IowaKathleen M Tenhundfeld Fear - College of Nursing, University of Iowa, Iowa City, IA, USAChantelle Miller - University of IowaAndré Boezaart - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Regional anesthesia and pain medicine, Vol.29(3), pp.227-229
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.rapm.2003.12.012
- PMID
- 15138907
- ISSN
- 1098-7339
- eISSN
- 1532-8651
- Language
- English
- Date published
- 05/01/2004
- Academic Unit
- Nursing
- Record Identifier
- 9984370659102771
Metrics
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