• Shalini Dhir, MarieEve LeBel, and Rosemary Ann Craen.
• Department of Anesthesia and Perioperative Medicine, St. Joseph's Health Care, Western University, 268 Grosvenor's Street, London, ON, Canada. sdhir2@uwo.ca.
• Can J Anaesth. 2021 Oct 1; 68 (10): 1536-1540.

PurposeBlocking the suprascapular nerve under the inferior belly of the omohyoid muscle is a novel regional anesthesia technique that has been proposed for shoulder analgesia. We describe the use of and our experience with bilateral indwelling suprascapular catheters for pain management via continuous infusions in a patient undergoing bilateral shoulder surgery.Clinical FeaturesBilateral subomohyoid suprascapular catheters were inserted prior to surgery for postoperative analgesia in a patient undergoing bilateral rotator cuff tear repair. The catheters were placed 0.5-1 cm beyond the needle tip, and low local anesthetic infusion rates (ropivacaine 0.2% at 5 mL·hr-1 on each side) were used.ConclusionsJudicious use of preoperatively placed bilateral suprascapular catheters added to a comprehensive multimodal analgesic regimen provided excellent analgesia without respiratory compromise throughout the perioperative course.© 2021. Crown.

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