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Acute Pain Management Protocol for Proximal Upper Extremity: Shoulder and Proximal Humerus Procedures

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First Aid Perioperative Ultrasound
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Surgeries of the shoulder and proximal humerus are common and result in severe postoperative pain. More patients are undergoing shoulder surgeries, especially rotator cuff repairs and shoulder arthroplasty, as an aging population demands more quality life improvements to treat common orthopedic problems. Proximal humerus fractures are the third most common fragility fracture due to osteoporosis, so operative repairs will also be more common as patients age. Effective regional techniques exist for anesthesia and postoperative pain management for these surgeries; however, appropriate patient selection is key as well as a good understanding of the risks and benefits of different regional techniques. Regional anesthesia facilitates the performance of many of these cases in the ambulatory setting by decreasing pain, nausea and sedation.

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Correspondence to Marcelle Blessing .

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Blessing, M. (2023). Acute Pain Management Protocol for Proximal Upper Extremity: Shoulder and Proximal Humerus Procedures. In: Li, J., Jiang, W., Vadivelu, N. (eds) First Aid Perioperative Ultrasound. Springer, Cham.

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