Regional anesthesia decreases complications and resource utilization in shoulder arthroplasty patients

Acta Anaesthesiologica Scandinavica
M D HerrickB D Sites

Abstract

Regional anesthesia can be used as part of the anesthetic to optimize anesthesia and analgesia during shoulder arthroplasty, but little is known about the overall effect that regional anesthesia has on perioperative outcomes and resource utilization. We hypothesized that regional anesthesia may decrease complication rates and resource utilization in shoulder arthroplasty patients. We examined administrative data from 588 US hospitals from 2010 to 2015. Logistic regression was used to examine the relationship between type of anesthesia and perioperative complications. Among patients who underwent shoulder arthroplasty, 79.1% (53,243) had general anesthesia alone, 17.8% (12,011) had general anesthesia and a nerve block, and 3.1% (2062) had a nerve block alone. Overall, the complication rate was 13.3% and 30-day mortality was 1.2 per 1000 (95% CI 0.9, 1.4). In adjusted analyses, patients who had general anesthesia alone (compared to general anesthesia and nerve block) had a 16% increase in all cause infectious complications (OR 1.16, 95% CI: 1.03, 1.31) and were 2.6 times more likely to develop pulmonary complications (OR 2.6, 95% CI: 1.14, 5.78). General anesthesia alone (relative to either block only or general anesthesia and bl...Continue Reading

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Citations

Aug 31, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Melissa M MasaracchiaMatthew Davis
Jan 19, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Elaine I YangJiabin Liu
May 28, 2019·Current Pain and Headache Reports·Erik M HelanderAlan D Kaye
Jan 12, 2021·Anaesthesia·D F Johnston, L R Turbitt
Jun 6, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Christopher L AntonacciFrank G Alberta
Jul 26, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Syed Hamza MufarrihRobina Matyal
Nov 11, 2021·JBJS Reviews·Michael A BoinMandeep S Virk

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