The Patterns of Utilization of Interscalene Nerve Blocks for Total Shoulder Arthroplasty

被引：23

作者：

Gabriel, Rodney A. ^{[1
]}

Nagrebetsky, Alexander ^{[2
]}

Kaye, Alan D. ^{[3
]}

Dutton, Richard P. ^{[4
]}

Urman, Richard D. ^{[5
]}

机构：

[1] Univ Calif San Diego, Dept Anesthesiol, San Diego, CA 92103 USA

[2] John H Stroger Jr Hosp Cook Cty, Dept Anesthesiol & Pain Management, Chicago, IL USA

[3] Louisiana State Univ, Hlth Sci Ctr, Dept Anesthesiol, New Orleans, LA USA

[4] US Anesthesia Partners, Ft Lauderdale, FL USA

[5] Harvard Med Sch, Brigham & Womens Hosp, Dept Anesthesiol Perioperat & Pain Med, 75 Francis St, Boston, MA 02115 USA

来源：

ANESTHESIA AND ANALGESIA | 2016年 / 123卷 / 03期

关键词：

D O I：

10.1213/ANE.0000000000001472

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The interscalene block (ISB) is a common adjunct to general anesthesia for total shoulder arthroplasty (TSA). The aim of the study was to report the current national demographics of the patients who are receiving ISB for TSAs. We performed a retrospective analysis of data from the National Anesthesia Clinical Outcomes Registry from 2010 to 2015. Of 28,810 cases, 42.1% received an ISB. Only 0.83% of cases received regional anesthesia as the primary anesthetic. From 2010 to 2014, there has been an increase in ISB utilization for this surgery (odds ratio, 1.21; 95% confidence interval, 1.19-1.23; P < .0001). Furthermore, we report a geographic distribution of block utilization in the United States. We have identified national patterns for the utilization of regional anesthesia for TSAs that may provide insight into future design of research studies:

引用

页码：758 / 761

页数：4

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