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- W1960274375 abstract "To The Editor: In regard to Scalene Regional Anesthesia for Shoulder Surgery in a Community Setting: An Assessment of Risk (2002;84:775-9), by Weber and Jain, I do not believe that the authors have presented a representative picture of the practice and results of regional anesthesia throughout the United States. I propose that this report indicates considerable inadequacy on the part of the anesthesiologists performing the procedure. I would find the conclusions of Weber and Jain comical, if they were not so distressing.For the last eight years, more than 6000 interscalene blocks have been performed in our sports medicine center. We perform, on average, more than 700 shoulder surgeries per year with use of interscalene block anesthesia and have had no incidents of seizure, cardiovascular collapse, or severe respiratory distress. We have had three to four cases of neuralgia that persisted less than nine weeks, and our mean duration of block exceeds twelve hours. According to patients' records, less than 15% of the patients required parenteral narcotics after the procedure. We perform our blocks with use of a blunt-needle technique, with the patient awake, and without use of a stimulator. We use 0.5% preservative-free plain Marcaine (average dose, 30 mL), immediately followed by general anesthesia.Also, I found the authors' cost analysis of the scalene block and the general anesthesia to be lacking. According to Table III, a patient who received general anesthesia required no postoperative pain control, while a patient who received a scalene block required postoperative pain control costing $440 and use of the scalene block resulted in an additional expense of $650 for the extra operating-room time in comparison with that needed with use of a general anesthetic. Our scalene block requires only five minutes of additional operating-room time. I suggest that the data in this study …" @default.
- W1960274375 created "2016-06-24" @default.
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- W1960274375 date "2002-10-01" @default.
- W1960274375 modified "2023-09-26" @default.
- W1960274375 title "Complication Rates of Scalene Regional Anesthesia" @default.
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- W1960274375 doi "https://doi.org/10.2106/00004623-200210000-00028" @default.
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