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Case Reports
Treatment of shoulder pain with ultrasound-guided interfascial plane block: A case series.
- Samer Metri, Carlos Gonzalez-Cobos, and Gabriel Rose.
- Department of Emergency Medicine, Kaiser Permanente San Diego, 4647 Zion Ave, San Diego, CA 92120, USA.
- Am J Emerg Med. 2024 Dec 1; 86: 189.e1189.e3189.e1-189.e3.
BackgroundShoulder pain is a common presentation to the Emergency Department (ED). Despite an increasing volume of ED visits for shoulder pain, achieving adequate pain control can be challenging. Ultrasound-guided nerve blocks, such as the interscalene nerve block (ISB), are effective but can cause hemidiaphragmatic paresis and motor dysfunction. The interfascial plane block (IPB) is a simple and new regional anesthesia technique that spares the diaphragm, and most upper extremity motor function.Case ReportThree patients presented to the ED with acute shoulder pain refractory to oral analgesics and were treated successfully with an ultrasound-guided IPB in the ED.ConclusionThe ultrasound-guided IPB is a simple, safe, and effective alternative approach to treating shoulder pain in the ED, especially in patients who may not tolerate ISB.Copyright © 2024 Elsevier Inc. All rights reserved.
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