Posterior Shoulder Instability After Infraclavicular Block for Outpatient Hand Surgery.
Ajay C KanakamedalaJared S BookmanDavid L FurgiueleJacques H HacquebordPublished in: Hand (New York, N.Y.) (2021)
Regional blocks are being increasingly utilized for anesthesia for various orthopedic procedures. Several studies have shown that regional anesthesia has fewer side effects and improved postoperative pain relief compared to general anesthesia, but regional blocks are not without risks. We present case reports of 2 patients who experienced posterior shoulder instability, one of whom had a posterior shoulder dislocation, immediately in the postanesthesia care unit after undergoing hand surgery with regional anesthesia. This paper highlights the importance of being aware that patients might be at increased risk of shoulder instability after upper extremity regional anesthesia, and appropriate perioperative precautions should be taken.
Keyphrases
- minimally invasive
- rotator cuff
- postoperative pain
- healthcare
- coronary artery bypass
- end stage renal disease
- ejection fraction
- cardiac surgery
- prognostic factors
- peritoneal dialysis
- coronary artery disease
- surgical site infection
- health insurance
- climate change
- atrial fibrillation
- patient reported outcomes
- affordable care act