You will be operated on the shoulder. This operation requires anesthesia which you will discuss with the anesthetist doctor you will meet in consultation a few weeks or days before your hospitalization
Except in special cases, the operation will take place under general anesthesia.
In most cases, we will propose to associate with a general anesthesia a loco-regional anesthesia to reduce postoperative pain (and therefore the need for pain medications, especially morphine ).
Beside its desired beneficial effect (decreased pain), the interscalene block is responsible for a number of ‘collateral’ effects, that are not complications, and that you will find may -being:
in almost all cases, it causes transient paralysis (a few hours) of the nerve of the diaphragm , very often without resonance but can rarely be responsible for a temporary sensation of difficulty in breathing,
in two out of three cases, you (or your relatives), may observe a fall of the eyelid on the operated side, again very transient and without any gravity,
in about one in ten cases, you may observe a change for a few hours in the tone of your voice, by anesthesia of the nerve of the vocal cords .
In shoulder surgery, this locoregional anesthesia is called an inter-scalene block because it involves injecting a local anesthetic into a region at the base of the neck called the inter region. -scalénique , close to the nerves responsible for the sensitivity of the shoulder (see photo).
The nerves are marked with an ultrasound machine </ strong>, sometimes associated with a device delivering very weak electrical impulses (neurostimulator).
This loco-regional anesthesia is performed before general anesthesia because it is important that you share your feelings. However, you have already benefited from the infusion of sedation to relax you. This gesture only lasts a few minutes.
The inter-scalen block has the effect of reducing the sensitivity of the shoulder (desired effect) and the arm. It also causes a decrease in the possibility of movement, or even a ‘paralysis’ of the arm. Depending on the anesthetic product (s) used, the duration of these effects will vary from a few hours to 24-36 hours.