Faculty Opinions recommendation of Severe brachial plexopathy after an ultrasound-guided single-injection nerve block for total shoulder arthroplasty in a patient with multiple sclerosis.

2008 ◽  
Author(s):  
Alain Borgeat
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Block ◽  
Shoulder Arthroplasty ◽  
Single Injection ◽  
Total Shoulder Arthroplasty ◽  
Brachial Plexopathy ◽  
Ultrasound Guided

scholarly journals Severe Brachial Plexopathy after an Ultrasound-guided Single-injection Nerve Block for Total Shoulder Arthroplasty in a Patient with Multiple Sclerosis

2008 ◽  
Vol 108 (2) ◽  
pp. 325-328 ◽  
Author(s):  
Matthew D. Koff ◽  
Jeffrey A. Cohen ◽  
John J. McIntyre ◽  
Charles F. Carr ◽  
Brian D. Sites
Keyword(s):  
Multiple Sclerosis ◽  
Nervous System ◽  
Peripheral Nerve ◽  
Regional Anesthesia ◽  
Nerve Block ◽  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Brachial Plexopathy ◽  
Nerve Blocks ◽  
Peripheral Nerve Blockade

DESPITE the known benefits of regional anesthesia for patients undergoing joint arthroplasty, the performance of peripheral nerve blocks in patients with multiple sclerosis (MS) remains controversial. MS has traditionally been described as an isolated disease of the central nervous system, without involvement of the peripheral nerves, and peripheral nerve blockade has been suggested to be safe. However, careful review of the literature suggests that MS may also be associated with involvement of the peripheral nervous system, challenging traditional teachings. There is a paucity of evidence with regard to safety in using peripheral nerve regional anesthesia in these patients. This makes it difficult to provide adequate "informed consent" to these patients. This case report describes a patient with MS who sustained a severe brachial plexopathy after a total shoulder arthroplasty during combined general anesthesia and interscalene nerve block.

scholarly journals Single-injection interscalene bupivacaine and dexamethasone for same-day discharge total shoulder arthroplasty: a case series

2016 ◽  
Vol 64 (4) ◽  
pp. 435-437 ◽  
Author(s):  
Manpreet Banghu ◽  
Thomas Mutter ◽  
James Dubberley ◽  
Peter MacDonald ◽  
Brenden Dufault ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Single Injection ◽  
Total Shoulder Arthroplasty ◽  
Case Series ◽  
Same Day Discharge
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