Name of the Procedure:

Anesthesia for open or surgical arthroscopic procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Summary

Anesthesia is administered to numb the shoulder area for surgical procedures on the shoulder joint, humeral head and neck, sternoclavicular joint, acromioclavicular joint, or in cases of shoulder disarticulation. This ensures that patients remain pain-free and comfortable during surgery.

Purpose

This procedure is essential to manage pain and facilitate surgical interventions on various parts of the shoulder complex, whether for injury repair, joint disorders, or conditions requiring the removal of the shoulder joint.

Indications

• Severe shoulder pain or dysfunction
• Shoulder fractures
• Rotator cuff tears
• Arthritic conditions affecting the shoulder
• Shoulder dislocation or instability
• Conditions requiring shoulder joint replacement or disarticulation

Preparation

• Fasting for at least 6-8 hours prior to the procedure.
• Discuss current medications with the healthcare provider.
• Undergo preoperative assessments such as blood tests, ECG, and imaging studies (MRI, X-ray).

Procedure Description

1. Patient assessment and positioning on the operating table.
2. Administration of the chosen anesthesia (general, regional, or a combination).
3. Monitoring of vital signs throughout the procedure.
4. Sterile preparation of the surgical site.
5. Surgical procedure (e.g., arthroscopy, open surgery) performed on the shoulder joint, humeral head, and neck, sternoclavicular or acromioclavicular joints, or shoulder disarticulation as needed.
6. Wound closure and sterile dressing application.
7. Gradual cessation of anesthesia and patient transfer to recovery.

Duration

The procedure typically lasts between 1 to 3 hours, depending on the complexity of the surgery.

Setting

The procedure is performed in a hospital operating room or surgical center.

Personnel

• Anesthesiologist
• Orthopedic surgeon
• Surgical nurses
• Operating room technicians

Risks and Complications

• Anesthetic reactions (e.g., allergies, respiratory issues)
• Infection at the surgical site
• Bleeding or hematoma
• Nerve damage
• Blood clots
• Prolonged pain or stiffness in the shoulder

Benefits

• Effective pain management during surgery
• Facilitation of complex shoulder surgeries
• Potential for improved shoulder function and relief from symptoms post-surgery

Recovery

• Close monitoring in a post-anesthesia care unit (PACU)
• Pain management with prescribed medications
• Guidelines for gradual mobility exercises and physical therapy
• Follow-up appointments to monitor healing and progress
• Avoid heavy lifting or strenuous activities for several weeks

Alternatives

• Non-surgical treatments such as physical therapy, medications, or injections
• Less invasive procedures if applicable
• Considering risks and benefits, an alternative might be less effective for severe cases

Patient Experience

• Initially, sensations of numbness or residual pain post-procedure, managed with pain relief measures
• Possible dizziness or grogginess from anesthesia
• Encouragement to follow all recovery protocols to ensure optimal healing and functionality.