Superior Trunk Block Catheter and 2% Chloroprocaine as a Phrenic Sparing Approach for Awake Arthroscopic Acromioclavicular Joint Surgery: A Case Report.

上干线阻滞导管和 2 ％ 氯普鲁卡因作为清醒关节镜下肩锁关节手术的保留方法 ： 病例报告。

• 发表时间: 2024 Mar
• 来源期刊: Cureus
• DOI: 10.7759/cureus.55761
• PMID: 38586677
• 文章类型: Case Reports
• 作者列表: Wou F,Narayanan M

关键词: arthroscopic shoulder surgery; awake patient surgery; local anaesthetic; superior trunk block; ultrasound guide regional anaesthesia

Abstract

Regional anaesthesia for shoulder surgery remains challenging in patients with pre-existing respiratory comorbidities. Various alternative phrenic sparing techniques have been described in the literature, but to our knowledge, none have explored the benefits of using short-acting local anaesthetics in combination to achieve surgical anaesthesia for awake surgery. This case report describes the successful use of the superior trunk block catheter, a relative phrenic sparing shoulder nerve block, and 2% chloroprocaine, a short-acting local anaesthetic, to provide surgical anaesthesia for awake shoulder surgery in a patient with severe respiratory disease.

摘要

对于先前存在呼吸道合并症的患者，肩关节手术的区域麻醉仍然具有挑战性。文献中已经描述了各种替代的膈备用技术，但就我们所知,没有人探讨联合使用短效局部麻醉药来实现清醒手术的手术麻醉的益处.本病例报告描述了上主干阻滞导管的成功使用，相对膈保留肩神经阻滞，和2%的氯普鲁卡因,一种短效局部麻醉剂,为患有严重呼吸系统疾病的患者进行清醒的肩部手术提供手术麻醉。