A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery

• DOI: 10.1111/anae.12840
• Publication Date: 2014-09-11T03:51:08Z
• Authors: P. Marhofer; W. Anderl; P. Heuberer; M. Fritz; O. Kimberger; D. Marhofer; W. Klug; J. Blasl
• Keywords: Adult; Aged, 80 and over; Pain, Postoperative; Shoulder; Adolescent; Databases, Factual; Middle Aged; Brachial Plexus Block; Patient Readmission; 3. Good health; Young Adult; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Ambulatory Surgical Procedures; 13. Climate action; Catheterization, Peripheral; Humans; Aged; Retrospective Studies

Summary Effective pain therapy after shoulder surgery is the main prerequisite for safe management in an ambulatory setting. We evaluated adverse events and hospital re‐admission using a database of 509 interscalene catheters inserted during surgery. Adverse were recorded 34 (6.7%) patients (9 (1.8%) catheter dislocations diagnosed recovery room, 9 at home with pain, 2 (0.4%) without dislocation, 1 (0.2%) ‘secondary’ pneumothorax intervention 13 (2.6%) other). Twelve (2.4%) re‐admitted to (8 (1.6%) dyspnoea nausea vomiting), whom had rotator cuff repair. A well‐organised infrastructure, optimally trained medical professionals appropriate patient selection are prerequisites safe, effective implementation routine clinical practice.