Shoulder Sx:

• Arthroplasy, and arthroscopy, and rotator cuff repair

• Use of a beach chair position → VAE risk
• Limited access to the airway→ tighten the connection, reinforce with tap
• Possible eye and ears injury
• Avoid excessive head rotation→ brachial plexus injury
• Options GA, interscalene or combined
• Assess the arm before doing the block for any neurological deficit
• Risk of post-op neurological deficit → the level of the injury is at the level
of the trunk (same as interscalene) difficult to determine the cause (surgical
Vs block)→ Neurapraxia → 90% resolve within 3-4 months