Hi all,
Had a situation come up where a skinny 71 year old woman without much else going on medically who was getting rotator cuff repair with subacromial decompression. She planned to get a ride home with her neighbor but not have them stay with her, stating "my neighbor is just a call away." Surgeon is cool with this arrangement from his standpoint.
Now I typically do interscalenes with just about every shoulder operation but I decided it as contraindicated in this patient because she didn't have help at home. Is that reasonable? Would anyone feel comfortable performing a single-shot and sending them home where they admittedly are going to be alone? I probably wouldn't do a catheter since it's an ongoing infusion of local but maybe single shot?
Had a situation come up where a skinny 71 year old woman without much else going on medically who was getting rotator cuff repair with subacromial decompression. She planned to get a ride home with her neighbor but not have them stay with her, stating "my neighbor is just a call away." Surgeon is cool with this arrangement from his standpoint.
Now I typically do interscalenes with just about every shoulder operation but I decided it as contraindicated in this patient because she didn't have help at home. Is that reasonable? Would anyone feel comfortable performing a single-shot and sending them home where they admittedly are going to be alone? I probably wouldn't do a catheter since it's an ongoing infusion of local but maybe single shot?