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https://www.readbyqxmd.com/read/28790863/great-auricular-neuropraxia-with-beach-chair-position
#1
Minal Joshi, Ruth Cheng, Hattiyangadi Kamath, Joel Yarmush
Shoulder arthroscopy has been shown to be the procedure of choice for many diagnostic and therapeutic interventions. Neuropraxia of the great auricular nerve (GAN) is an uncommon complication of shoulder surgery, with the patient in the beach chair position. We report a case of great auricular neuropraxia associated with direct compression by a horseshoe headrest, used in routine positioning for uncomplicated shoulder surgery. In this case, an arthroscopic approach was taken, under regional anesthesia with sedation in the beach chair position...
2017: Local and Regional Anesthesia
https://www.readbyqxmd.com/read/28776638/a-novel-combination-of-peripheral-nerve-blocks-for-arthroscopic-shoulder-surgery
#2
D Musso, S Flohr-Madsen, K Meknas, T Wilsgaard, L M Ytrebø, Ø Klaastad
BACKGROUND: Interscalene brachial plexus block is currently the gold standard for intra- and post-operative pain management for patients undergoing arthroscopic shoulder surgery. However, it is associated with block related complications, of which effect on the phrenic nerve have been of most interest. Side effects caused by general anesthesia, when this is required, are also a concern. We hypothesized that the combination of superficial cervical plexus block, suprascapular nerve block, and infraclavicular brachial plexus block would provide a good alternative to interscalene block and general anesthesia...
August 4, 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28741323/-osteosynthesis-with-locking-plate-and-minimally-invasive-technique-for-proximal-humeral-fractures
#3
C Arroyo-Sánchez, C Abril-Gaona, D Rincón-Cardozo
OBJECTIVE: To report our experience in the treatment of 2-3 fragment proximal humeral fractures using a minimally invasive technique that involves an angular-stable locking implant and find out the factors affecting patients outcomes. MATERIAL AND METHODS: Descriptive, prospective study of the case series type. Twenty-two patients, 13 females and 9 males, were operated on between February 2010 and August 2012. Mean age was 50.8 years (24-82 years). Patients were placed in a beach-chair position...
January 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28669598/how-satisfied-are-patients-with-arthroscopic-bankart-repair-a-2-year-follow-up-on-quality-of-life-outcome
#4
Tim Saier, Johannes E Plath, Sabrina Waibel, Philipp Minzlaff, Matthias J Feucht, Peter Herschbach, Andreas B Imhoff, Sepp Braun
PURPOSE: To report general life and health satisfaction after arthroscopic Bankart repair in patients with post-traumatic recurrent anterior glenohumeral instability and to investigate postoperative time lost to return to work at 2-year follow-up. METHODS: Between 2011 and 2013 patients treated with arthroscopic Bankart repair in the beach chair position for acute shoulder instability were included in this study. Questions on Life Satisfaction Modules (FLZ(M)) and the Short Form 12 (SF-12) were used as quality-of-life outcome scales...
June 29, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28558702/background-anaesthetic-agents-do-not-influence-the-impact-of-arginine-vasopressin-on-haemodynamic-states-and-cerebral-oxygenation-during-shoulder-surgery-in-the-beach-chair-position-a-prospective-single-blind-study
#5
Eun-A Jang, Ji-A Song, Ji Youn Shin, Jae Joon Yoon, Kyung Yeon Yoo, Seongtae Jeong
BACKGROUND: Administration of arginine vasopressin (AVP) is associated with reducing jugular venous (SjvO2) and regional cerebral (rScO2) oxygen saturation under propofol-remifentanil (P/R) anaesthesia. We determined whether background anaesthetics modulate the effect of AVP on cerebral oxygenation and haemodynamics. METHODS: We randomly allocated 60 adult patients scheduled for shoulder surgery in the beach chair position (BCP) into 4 groups, to receive either an intravenous bolus of saline (groups PR-S and SN-S) or 0...
May 30, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28478900/the-effect-of-the-beach-chair-position-angle-on-cerebral-oxygenation-during-shoulder-surgery
#6
Chad E Songy, Eric R Siegel, Mark Stevens, John T Wilkinson, Shahryar Ahmadi
BACKGROUND: Although the safety of the beach-chair position (BCP) is widely accepted, rare devastating neurologic complications have been reported and attributed to cerebral hypoperfusion. Cerebral oxygenation (regional oxygen saturation [rSO2]) can be monitored noninvasively using near-infrared spectroscopy. The purpose of this study was to determine the effect of BCP angle on cerebral oxygenation in patients undergoing shoulder surgery in the BCP. METHODS: Fifty patients undergoing shoulder arthroscopy were prospectively enrolled to participate...
May 3, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28367287/effect-of-an-epinephrine-mixture-for-interscalene-block-on-hemodynamic-changes-after-the-beach-chair-position-under-general-anesthesia-a-retrospective-study
#7
Bum-June Kim, Chae-Seong Lim, Boo-Hwi Hong, Ji-Yong Lee, Sun-Yeul Lee, Jung-Un Lee, Yoon-Hee Kim, Won-Hyung Lee, Seok-Hwa Yoon
BACKGROUND: The beach chair position (BCP) can cause significant hypotension. Epinephrine is used to prolong the duration of local anesthetics; it is also absorbed into blood and can exert systemic effects. This study determined the effects of epinephrine mixed with ropivacaine for an interscalene block (ISB) on hemodynamic changes related to BCP. METHODS: Patient data collected from March 2013 to August 2014 were used retrospectively. We divided the patients into three groups: 1) ISB only, 2) I+G (general anesthesia after ISB without epinephrine), and 3) I+E+G (general anesthesia after ISB with epinephrine)...
April 2017: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/28255948/what-adverse-events-and-injuries-are-cited-in-anesthesia-malpractice-claims-for-nonspine-orthopaedic-surgery
#8
Christopher D Kent, Linda S Stephens, Karen L Posner, Karen B Domino
BACKGROUND: Malpractice claims that arise during the perioperative care of patients receiving orthopaedic procedures will frequently involve both orthopaedic surgeons and anesthesiologists. The Anesthesia Closed Claims database contains anesthesia malpractice claim data that can be used to investigate patient safety events arising during the care of orthopaedic patients and can provide insight into the medicolegal liability shared by the two specialties. QUESTIONS/PURPOSES: (1) How do orthopaedic anesthetic malpractice claims differ from other anesthesia claims with regard to patient and case characteristics, common events and injuries, and liability profile? (2) What are the characteristics of patients who had neuraxial hematomas after spinal and epidural anesthesia for orthopaedic procedures? (3) What are the characteristics of patients who had orthopaedic anesthesia malpractice claims for central ischemic neurologic injury occurring during shoulder surgery in the beach chair position? (4) What are the characteristics of patients who had malpractice claims for respiratory depression and respiratory arrests in the postoperative period? METHODS: The Anesthesia Closed Claims Project database was the source of data for this study...
March 2, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28224065/the-supine-position-for-shoulder-arthroscopy
#9
Chonlathan Iamsumang, Bancha Chernchujit
Shoulder arthroscopy is traditionally performed with the patient in either the beach chair position or the lateral decubitus position. Each position has its advantages and disadvantages. The main topics for consideration include ease of surgery, view into the surgical field, risks to the patient, and economics of the setup. In the lateral decubitus position, it is inconvenient to work through the anterior portal and it is difficult to convert to an open procedure. In the beach chair position, it is difficult to manage the airway and cerebral oxygenation and the patient's head and the beach chair frame obstruct the insertion of a scope into the superior and posterior portals...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28101589/-intramedullary-nailing-in-diaphyseal-clavicle-fractures-using-minimally-invasive-percutaneous-reduction
#10
M Müller, T Freude, U Stöckle, T M Kraus
OBJECTIVE: Closed reduction and intramedullary nailing is common in diaphyseal clavicle fractures. The aim of this report is to demonstrate a surgical method with minimally invasive percutaneous reduction in cases where closed reduction fails. The procedure is associated with good cosmetic results. INDICATIONS: Percutaneous reduction using two reduction forceps enables intramedullary nailing without an open procedure. CONTRAINDICATIONS: Open, multifragmented or non-dislocated fractures, oblique fractures due to postoperative dislocation or shortening risk, fracture having potential to become compound fractures, neurovascular complications, pseudoarthroses...
February 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27909677/basic-shoulder-arthroscopy-lateral-decubitus-patient-positioning
#11
Alexander H Jinnah, Sandeep Mannava, Johannes F Plate, Austin V Stone, Michael T Freehill
Shoulder arthroscopy offers a minimally invasive surgical approach to treat a variety of shoulder pathologies. The patient can be positioned in either the lateral decubitus or the beach chair position. This note and accompanying video describe the operating room setup for shoulder arthroscopy in the lateral decubitus position, including positioning of the arms, head, and sterile preparation and draping. Appropriate lateral decubitus positioning for shoulder arthroscopy with careful attention to detail will promote ease of surgical intervention and minimize complications...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27909672/arthroscopic-360%C3%A2-capsular-release-for-adhesive-capsulitis-in-the-lateral-decubitus-position
#12
Gregory L Cvetanovich, Timothy Leroux, Jason T Hamamoto, John D Higgins, Anthony A Romeo, Nikhil N Verma
Idiopathic adhesive capsulitis of the shoulder is a relatively common condition that results in pain and loss of motion due to capsular thickening and fibrosis. Most cases are successfully treated with conservative management including physical therapy and intra-articular steroid injections. If conservative management fails, arthroscopic capsular release allows precise release of thickened capsular tissue with a lower risk of complications and less soft-tissue trauma than manipulation under anesthesia alone...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27904212/functional-outcome-after-primary-hemiarthroplasty-in-three-or-four-part-proximal-humerus-fracture-a-short-term-followup
#13
Saurabh Agarwal, Ashish Rana, Rajeev K Sharma
BACKGROUND: Several modalities of treatment are being used for the management of proximal humerus fractures. Primary hemiarthroplasty in proximal humerus fracture is indicated in three or four part fracture or fracture dislocations. It is also indicated if fracture involves a large area of articular cartilage loss and viability of head is doubtful. We studied the functional outcome of hemiarthroplasty in comminuted proximal humerus fracture. MATERIALS AND METHODS: 29 patients of three or four part proximal humerus fractures, (according to Neer's classification) who underwent primary shoulder hemiarthroplasty were included in this retrospective study...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27871574/cerebral-oxygenation-in-the-beach-chair-position-for-shoulder-surgery-in-regional-anesthesia-impact-on-cerebral-blood-flow-and-neurobehavioral-outcome
#14
José A Aguirre, Olivia Märzendorfer, Muriel Brada, Andrea Saporito, Alain Borgeat, Philipp Bühler
STUDY OBJECTIVE: Beach chair position is considered a potential risk factor for central neurological events particularly if combined with low blood pressure. The aim of this study was to assess the impact of regional anesthesia on cerebral blood flow and neurobehavioral outcome. DESIGN: This is a prospective, assessor-blinded observational study evaluating patients in the beach chair position undergoing shoulder surgery under regional anesthesia. SETTING: University hospital operating room...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27796526/hemodynamic-monitoring-during-surgeries-in-beach-chair-position-what-can-a-big-picture-teach-us
#15
EDITORIAL
Markus M Luedi, Karim Bendjelid
No abstract text is available yet for this article.
October 31, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27738950/patterns-of-intra-arterial-blood-pressure-monitoring-for-patients-undergoing-total-shoulder-arthroplasty-under-general-anesthesia-a-retrospective-analysis-of-23-073-patients
#16
Rodney A Gabriel, Anair Beverly, Richard P Dutton, Richard D Urman
Total shoulder arthroplasty (TSA) is typically performed in the beach-chair position. Maintenance of adequate mean arterial pressure is required to provide appropriate cerebral perfusion pressure and prevent cerebral ischemia. Placement of an arterial line to facilitate invasive monitoring is discretionary, based on clinical judgment. We aimed to describe patient, surgical and institutional factors associated with the current use of blood pressure monitoring via an arterial line for TSA. We used de-identified patient data from the National Anesthesia Clinical Outcomes Registry between 2010 and 2015 to identify patients undergoing TSA under general anesthesia...
October 13, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27709029/basic-shoulder-arthroscopy-beach-chair-patient-positioning
#17
Sandeep Mannava, Alexander H Jinnah, Johannes F Plate, Austin V Stone, Christopher J Tuohy, Michael T Freehill
Shoulder arthroscopy is an orthopaedic procedure that has grown significantly in popularity over the last 40 years. The 2 principle patient positions during shoulder arthroscopy include the beach chair position and lateral decubitus position. This Technical Note details the operating room setup for shoulder arthroscopy in the beach chair position. Proper positioning for this procedure will minimize potential complications and facilitate ease of surgical intervention.
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27687453/delayed-onset-and-long-lasting-hemidiaphragmatic-paralysis-and-cranial-nerve-deficit-after-interscalene-nerve-block-for-rotator-cuff-repair-in-beach-chair-position
#18
Chukwudi O Chiaghana, Caleb A Awoniyi
Hemidiaphragmatic paralysis is the most common adverse effect associated with interscalene block. In most cases, it resolves with the resolution of nerve blockade with only an estimated incidence of 0.048% persisting for longer duration. Occasionally, interscalene block is also associated with recurrent laryngeal nerve block and seldom with cranial nerve paresis. We present a case of delayed onset and prolonged hemidiaphragmatic paralysis that was associated with 3 cranial nerve deficits after interscalene nerve block for shoulder surgery performed under general anesthesia in the beach chair position...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27591460/patient-state-index-and-cerebral-blood-flow-changes-during-shoulder-arthroscopy-in-beach-chair-position
#19
Mehmet Ilke Buget, Ata Can Atalar, Ipek Saadet Edipoglu, Zerrin Sungur, Nukhet Sivrikoz, Meltem Karadeniz, Esra Saka, Suleyman Kucukay, Mert N Senturk
BACKGROUND AND OBJECTIVES: The aim of the study were to demonstrate the possible hemodynamic changes and cerebral blood flow alterations in patients who were positioned from supine to beach chair position; and to detect if the position change causes any cortical activity alteration as measured by the 4-channeled electroencephalography monitor. METHODS: 35 patients were included. Before the induction, mean arterial pressure and patient state index values were recorded (T0)...
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27560643/traction-injury-of-the-brachial-plexus-confused-with-nerve-injury-due-to-interscalene-brachial-block-a-case-report
#20
Francisco Ferrero-Manzanal, Raquel Lax-Pérez, Roberto López-Bernabé, José Ramiro Betancourt-Bastidas, Alvaro Iñiguez de Onzoño-Pérez
INTRODUCTION: Shoulder surgery is often performed with the patient in the so called "beach-chair position" with elevation of the upper part of the body. The anesthetic procedure can be general anesthesia and/or regional block, usually interscalenic brachial plexus block. We present a case of brachial plexus palsy with a possible mechanism of traction based on the electromyographic and clinical findings, although a possible contribution of nerve block cannot be excluded. PRESENTATION OF THE CASE: We present a case of a 62 year-old female, that suffered from shoulder fracture-dislocation...
2016: International Journal of Surgery Case Reports
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