Local anesthesia for arthroscopic rotator cuff surgery: patient–physician relationship as the origin of technical innovation
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We report a series of 12 patients suffering from rotator cuff tears of the shoulder who were operated under local anesthesia (direct injection of local anaesthetics in the shoulder) and light sedation. They all had a medical contra-indication for elective surgery under general or regional nerve block anaesthesia (interscalene). Complete pain control was achieved in all cases and all the surgical goals could be achieved during the different procedures, which included rotator cuff repair, bursectomy, acromioplasty, and proximal biceps tenotomy. We report no complication of the procedures. We discuss the impact of an attitude of attention toward the patient’s global condition on part of the surgeon, and the importance of such an attention to obtain the pertinent clinical information that can lead to innovative treatments.
KeywordsRotator cuff repair Shoulder Arthroscopy Anesthesia Local anesthesia Sedation Innovation Patient-physician relationship Clinical research
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