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Anyone doing single shot ISB for their total shoulder arthroplasties? If so, and you are using decadron, how are your patients doing upon block resolution?
I ask because I have been doing blocks with decadron and patients do great. Around 30 hrs of analgesia and a tolerable 4-5/10 of pain upon block resolution per the patients that is easily controlled with oral pain meds. I was wondering if practitioners were seeing the same results if patients were having TSA or if that pain is more intense that a catheter would be warranted.
Also, if anyone is doing single shot blocks for TSA, are you trying to time the block so that the patient can participate in ROM physical therapy the following day?
Thanks
I ask because I have been doing blocks with decadron and patients do great. Around 30 hrs of analgesia and a tolerable 4-5/10 of pain upon block resolution per the patients that is easily controlled with oral pain meds. I was wondering if practitioners were seeing the same results if patients were having TSA or if that pain is more intense that a catheter would be warranted.
Also, if anyone is doing single shot blocks for TSA, are you trying to time the block so that the patient can participate in ROM physical therapy the following day?
Thanks