ReviewJournal of clinical medicine2023
Regional Anesthesia Techniques for Shoulder Surgery in High-Risk Pulmonary Patients.
Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 14 citations in OpenAlex.
- Protective effects of C5 level saline injection around the phrenic nerve in interscalene brachial plexus block: a randomized controlled trial.Scientific reports · 2026Trial
- Sub-Omohyoid Fascial Plane Block as a Diaphragm-Sparing Approach for Shoulder Analgesia: A Narrative Review.Journal of clinical medicine · 2026Review
- The diaphragm-sparing effect of interscalene block with a low-volume of ropivacaine 0.1% vs. 0.5%: A double-blind, controlled, randomised trial.European journal of anaesthesiology and intensive care · 2026Article
- Risk factors postoperative diaphragmatic dysfunction in video-assisted thoracic surgery patients: a dynamic digital radiography study.Journal of thoracic disease · 2026Article
- Efficacy and Safety of Phrenic-Nerve Sparing Blocks vs. Interscalene Brachial Plexus Block for Shoulder Surgery.Current pain and headache reports · 2026Review
- Regional anesthesia strategies for proximal humerus fracture surgery: anatomical considerations, diaphragm-sparing techniques, and expert perspectives-a narrative review.Langenbeck's archives of surgery · 2026Review
- Stemless anatomic total shoulder arthroplasty with a novel anatomically shaped side-specific humeral component: technical tips and literature review.JSES reviews, reports, and techniques · 2025Article
- [Endoprosthesis in proximal humerus fractures -What is important?]Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Retrospective Comparison of Extrafascial versus Intrafascial Interscalene Brachial Plexus Block with Reduced Volume: Impact on Hemidiaphragmatic Paralysis and Hemodynamic Effects in Shoulder Surgery Patients.Local and regional anesthesia · 2025Article
- Shoulder Surgeries under Regional Anesthesia Approach and Outcome - A Case Series.Journal of orthopaedic case reports · 2024Article
- A Case of Hospitalization After Pre-operative Interscalene Nerve Block in an Ambulatory Surgery Center.Cureus · 2024Article
- Perioperative Diaphragm Dysfunction.Journal of clinical medicine · 2024Review
- Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patients with pre-existing pulmonary conditions are at risk for experiencing perioperative complications and increased morbidity. General anesthesia has historically been used for shoulder surgery, though regional anesthesia techniques are increasingly used to provide anesthesia and improved pain control after surgery. Relative to regional anesthesia, patients who undergo general anesthesia may be more prone to risks of barotrauma, postoperative hypoxemia, and pneumonia. High-risk pulmonary patients, in particular, may be exposed to these risks of general anesthesia. Traditional regional anesthesia techniques for shoulder surgery are associated with high rates of phrenic nerve paralysis which significantly impairs pulmonary function. Newer regional anesthesia techniques have been developed, however, that provide effective analgesia and surgical anesthesia while having much lower rates of phrenic nerve paralysis, thereby preserving pulmonary function.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.