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Review
. 2023 Jan;18(1):5-10.
doi: 10.17085/apm.22254. Epub 2023 Jan 10.

Recent updates on interscalene brachial plexus block for shoulder surgery

RyungA Kang  1 , Justin Sangwook Ko  1
Affiliations
Review

Recent updates on interscalene brachial plexus block for shoulder surgery

RyungA Kang et al. Anesth Pain Med (Seoul). 2023 Jan.

Abstract

Interscalene brachial plexus block (ISBPB) provides optimal analgesia for shoulder surgery. However, several limitations still exist, including the short duration of analgesia, rebound pain, a high incidence of unilateral diaphragmatic paresis, and potential risk of nerve damage, prompting the search for alternative techniques. Many alternatives to ISBPB have been studied to alleviate these concerns, and clinicians should choose an appropriate option based on the patient's condition. In this mini-review, we aimed to present recent updates on ISBPB while discussing our clinical experiences in shoulder surgery.

Keywords: Brachial plexus; Interscalene brachial plexus block; Peripheral nerve block; Shoulder surgery..

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Conflict of interest statement

CONFLICTS OF INTEREST

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Ultrasound image after extrafascial interscalene brachial plexus block. ASM: anterior scalene muscle, MSM: middle scalene muscle.
Fig. 2.
Fig. 2.
Ultrasound image after superior trunk block. ASM: anterior scalene muscle, LA: local anesthetics, MSM: middle scalene muscle, ST: superior trunk.
See this image and copyright information in PMC

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