Safety of pediatric continuous interscalene block catheters placed under general anesthesia: A single center's experience

H. Gurnaney, W. T. Muhly, F. W. Kraemer, Giovanni Cucchiaro, A. Ganesh

Research output: Contribution to journalArticle

Abstract

Background: The use of interscalene catheters is an effective treatment strategy for children and adolescents undergoing shoulder surgery. Although placement of interscalene catheters in the awake child is challenging, some have cautioned against performing regional anesthesia in the patient under general anesthesia. We present a case series of 154 interscalene catheters placed in pediatric patients under general anesthesia and managed in the outpatient setting. Methods: A total of 154 interscalene catheters were placed at a single institution between April 2006 and December 2011 using a modified lateral approach. All catheters were placed with the patient under general anesthesia. The patients discharged home with the catheters were followed-up with daily phone calls until removal of the catheter. Results: Of the 154 patients with an interscalene CPNB, 132 (85.7%) were discharged home with the interscalene CPNB in place. The success rate for the catheters was 92.1% (CI: 86.9-95.7%). The most common reason for catheter failure (6%) was early dislodgement (within 24 h). In addition to these 12 patients, 3 other patients had adverse events related to the interscalene CPNB. Conclusion: Interscalene catheter placement under general anesthesia and management on an outpatient basis is feasible in the pediatric population and is associated with a low rate of catheter-related complications.

Original languageEnglish (US)
Pages (from-to)377-383
Number of pages7
JournalActa Anaesthesiologica Scandinavica
Volume59
Issue number3
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

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General Anesthesia
Catheters
Pediatrics
Safety
Outpatients
Conduction Anesthesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Safety of pediatric continuous interscalene block catheters placed under general anesthesia : A single center's experience. / Gurnaney, H.; Muhly, W. T.; Kraemer, F. W.; Cucchiaro, Giovanni; Ganesh, A.

In: Acta Anaesthesiologica Scandinavica, Vol. 59, No. 3, 01.01.2015, p. 377-383.

Research output: Contribution to journalArticle

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