Efficacy of the Use of Cervical Epidural Anesthesia in Shoulder Girdle Surgery

Abstract

Introduction: The study of the efficacy of cervical epidural block in shoulder girdle surgery allows to identify what the most frequent complications are, in order to prevent them and to be able to compare this technique with others.

Objective: To describe the efficacy of the use of cervical epidural anesthesia in shoulder girdle surgery.

Methods: An observational, descriptive and cross-sectional study was carried out at Hospital General Docente Universitario “Martin Chang Puga”, of Nuevitas Municipality, Camagüey Province, between January 2021 and December 2022. The sample consisted of 25 patients who underwent shoulder girdle surgery and were applied cervical epidural anesthesia.

Results: There was a predominance of the male sex (18 patients out of 25), while most of the patients were between 19 and 59 years old. They were predominantly (17 patients) classified as ASA II. Heart rate and mean arterial blood pressure followed a Gaussian distribution 30 and 60 minutes after initiation of cervical epidural block (gl: 25; p > 0.05). Heart rate, mean arterial blood pressure and partial oxygen saturation decreased significantly 60 minutes after the anesthetic technique was applied, and remained within normal limits. 100 % reported being satisfied with the anesthetic procedure.

Conclusions: The efficacy of the use of cervical epidural anesthesia in shoulder girdle surgery yielded very satisfactory results; it is effective and safe.