Indwelling interscalene catheter use in an outpatient setting for shoulder surgery: Technique, efficacy, and complications

Indwelling interscalene catheters are utilized for inpatient postoperative pain control after shoulder surgery. Improved medical equipment and advanced techniques may allow safe and efficacious outpatient use. One hundred and forty-four consecutive indwelling interscalene catheter placements were re...

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Published inJournal of shoulder and elbow surgery Vol. 16; no. 4; pp. 388 - 395
Main Authors Bryan, Nathaniel A., MD, Swenson, Jeffrey D., MD, Greis, Patrick E., MD, Burks, Robert T., MD
Format Journal Article
LanguageEnglish
Published New York, NY Mosby, Inc 01.07.2007
Elsevier
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Abstract Indwelling interscalene catheters are utilized for inpatient postoperative pain control after shoulder surgery. Improved medical equipment and advanced techniques may allow safe and efficacious outpatient use. One hundred and forty-four consecutive indwelling interscalene catheter placements were reviewed to determine adverse events, complications, and efficacy. Real-time ultrasound-guided catheter placement technique is described. Post-anesthesia care unit (PACU) narcotic consumption and last recorded pain score were reviewed to gauge efficacy. The catheter placement technique was 98% successful. There were 14 (9.7%) minor adverse events including inadequate analgesia (8), accidental catheter removal (4) of disconnection (1), and shortness of breath (1). The single complication (0.7%) was a small apical pneumothorax. The average PACU narcotic consumption in intravenous morphine equivalents was 1.7 mg. The average last recorded PACU pain score on a scale of 1 to 10 was 0.6. Catheter placement under real-time ultrasound guidance is accurate. Outpatient use of indwelling interscalene catheters is safe and efficacious.
AbstractList Indwelling interscalene catheters are utilized for inpatient postoperative pain control after shoulder surgery. Improved medical equipment and advanced techniques may allow safe and efficacious outpatient use. One hundred and forty-four consecutive indwelling interscalene catheter placements were reviewed to determine adverse events, complications, and efficacy. Real-time ultrasound-guided catheter placement technique is described. Post-anesthesia care unit (PACU) narcotic consumption and last recorded pain score were reviewed to gauge efficacy. The catheter placement technique was 98% successful. There were 14 (9.7%) minor adverse events including inadequate analgesia (8), accidental catheter removal (4) of disconnection (1), and shortness of breath (1). The single complication (0.7%) was a small apical pneumothorax. The average PACU narcotic consumption in intravenous morphine equivalents was 1.7 mg. The average last recorded PACU pain score on a scale of 1 to 10 was 0.6. Catheter placement under real-time ultrasound guidance is accurate. Outpatient use of indwelling interscalene catheters is safe and efficacious.
Author Greis, Patrick E., MD
Bryan, Nathaniel A., MD
Swenson, Jeffrey D., MD
Burks, Robert T., MD
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Issue 4
Keywords Human
Postoperative
Pneumothorax
Intravenous administration
Effusion
Respiratory disease
Toxicity
Catheter
Morphine
Narcotic analgesic
Pain
Treatment
Surgery
Shoulder
Pleural disease
Complication
Ambulatory
Technique
Ultrasound
Language English
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Snippet Indwelling interscalene catheters are utilized for inpatient postoperative pain control after shoulder surgery. Improved medical equipment and advanced...
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SubjectTerms Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Surgical Procedures
Analgesics, Opioid - therapeutic use
Arthroscopy
Biological and medical sciences
Brachial Plexus
Catheterization - adverse effects
Catheterization - methods
Catheters, Indwelling - adverse effects
Female
Humans
Male
Medical sciences
Middle Aged
Nerve Block - adverse effects
Nerve Block - methods
Orthopedics
Pain, Postoperative - drug therapy
Pneumology
Respiratory system : syndromes and miscellaneous diseases
Shoulder Joint
Title Indwelling interscalene catheter use in an outpatient setting for shoulder surgery: Technique, efficacy, and complications
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https://dx.doi.org/10.1016/j.jse.2006.10.012
https://www.ncbi.nlm.nih.gov/pubmed/17507247
https://search.proquest.com/docview/70751023
Volume 16
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