11 doctors weighed in:

Can I use regional anesthesia with a sedative, instead of general anesthesia for my arthroscopic shoulder surgery? I don't like being put under

11 doctors weighed in
Dr. Harry Kwak
Anesthesiology
5 doctors agree

In brief: Yes

Regional anesthesia (nerve block) with sedation is a great option.
Speak with your anesthesiologist to determine if there are no contraindicating factors. Sometimes general w/ or w/out regional maybe necessary. It is normal to feel anxious about "being put under" however general anesthesia is employed safely everyday!

In brief: Yes

Regional anesthesia (nerve block) with sedation is a great option.
Speak with your anesthesiologist to determine if there are no contraindicating factors. Sometimes general w/ or w/out regional maybe necessary. It is normal to feel anxious about "being put under" however general anesthesia is employed safely everyday!
Dr. Harry Kwak
Dr. Harry Kwak
Thank
Dr. William Jenkins
Anesthesiology
2 doctors agree

In brief: Yes you can

Have an interscalene regional block done under sedation, with the surgery with the block and sedation.
Another advantage is you will have no pain when the surgery is finished requiring narcotics.

In brief: Yes you can

Have an interscalene regional block done under sedation, with the surgery with the block and sedation.
Another advantage is you will have no pain when the surgery is finished requiring narcotics.
Dr. William Jenkins
Dr. William Jenkins
Thank
1 comment
Dr. Harry Dollahite
This does require competent anesthesiologist versed in regional anesthesia. They typically couple regional anesthesia with sedatives, so you would actually be dozing and sleeping during the procedure. Under the best of circumstances you can have the procedure performed without being put to sleep. Lengthy procedures can be difficult with regional anesthesia alone. You want a competent surgeon also.
Dr. Karen Sibert
Anesthesiology
1 doctor agrees

In brief: Maybe!

Regional blocks with sedation may be a good option for you, although they are not done in all centers.
Bear in mind though that any block can fail or wear off, so you might need general anesthesia anyway. Discuss options with your physician anesthesiologist. You can have a phone call or consult ahead of time if you wish. Ga is remarkably safe.

In brief: Maybe!

Regional blocks with sedation may be a good option for you, although they are not done in all centers.
Bear in mind though that any block can fail or wear off, so you might need general anesthesia anyway. Discuss options with your physician anesthesiologist. You can have a phone call or consult ahead of time if you wish. Ga is remarkably safe.
Dr. Karen Sibert
Dr. Karen Sibert
Thank
1 comment
Dr. William Jenkins
An interscalene block with bupivacaine will not wear off, it will last at least seven hours, providing much non-narcotic pain relief. With the newer ultrasound guided blocks it should be possible to find an anesthesiologist proficient. A shoulder is relatively easy to block compared to an entire arm.
Dr. Ali Seifi
Critical Care

In brief: Inter Scalen block

You can ask your anesthesiologist during preop visit to consider inter scalene block .
There is possibility of failure in this block , so some ortho surgeons don't like it.

In brief: Inter Scalen block

You can ask your anesthesiologist during preop visit to consider inter scalene block .
There is possibility of failure in this block , so some ortho surgeons don't like it.
Dr. Ali Seifi
Dr. Ali Seifi
Thank
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