A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery.

Abstract:

:Effective pain therapy after shoulder surgery is the main prerequisite for safe management in an ambulatory setting. We evaluated adverse events and hospital re-admission using a database of 509 interscalene catheters inserted during ambulatory shoulder surgery. Adverse events were recorded for 34 (6.7%) patients (9 (1.8%) catheter dislocations diagnosed in the recovery room, 9 (1.8%) catheter dislocations at home with pain, 2 (0.4%) pain without catheter dislocation, 1 (0.2%) 'secondary' pneumothorax without intervention and 13 (2.6%) other). Twelve (2.4%) patients were re-admitted to hospital (8 (1.6%) for pain, 2 (0.4%) for dyspnoea and 2 (0.4%) for nausea and vomiting), 9 of whom had rotator cuff repair. A well-organised infrastructure, optimally trained medical professionals and appropriate patient selection are the main prerequisites for the safe, effective implementation of ambulatory interscalene catheters in routine clinical practice.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Marhofer P,Anderl W,Heuberer P,Fritz M,Kimberger O,Marhofer D,Klug W,Blasl J

doi

10.1111/anae.12840

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

41-6

issue

1

eissn

0003-2409

issn

1365-2044

journal_volume

70

pub_type

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