Efficacy of Ultrasound-Guided Interscalene Block in Rotator Cuff Repair.
DOI:
https://doi.org/10.36557/2674-8169.2025v7n5p298-310Keywords:
Interscalene block, Rotator cuff, Ultrasound, arthroscopyAbstract
Introduction: Arthroscopic intervention is associated with significant postoperative pain in rotator cuff repair, and ultrasound-guided interscalene block (ISB) is considered the standard for mitigating this problem, although it presents respiratory risks. Objective: To explore the effectiveness of ISB in rotator cuff repair. Methodology: A qualitative systematic review was conducted using the PRISMA model, evaluating studies published between 2020 and 2024 in databases PubMed, Scopus, and Cochrane. Results: The results suggest that ISB offers effective analgesia and reduces the initial use of opioids but may cause phrenic paralysis. Comparatively, techniques such as suprascapular nerve block continue to be safe and effective without the same adverse effects. Conclusion: ISB is effective for postoperative analgesia but carries significant respiratory risks in vulnerable patients. Alternatives such as combined blocks may offer comparable safety and analgesic effects, positively influencing patient recovery and satisfaction.
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Copyright (c) 2025 Stefany María Orrego Álvarez, Karen Lizbeth Palma Cobeña, Martha Nathaly Alava Bravo, Gary Fabián Sánchez Choez, Valeria Lisseth Ureta Zambrano
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