Abstract

A total shoulder arthroplasty (TSA) is a common orthopedic procedure that is associated with severe postoperative pain. An interscalene block (ISB) is the standard peripheral nerve block (PNB) for this surgery as it results in regional anesthesia for the shoulder and upper arm; however, emerging data revealed that an ISB provides only 8 hours of adequate analgesia. The addition of either perineural or intravenous (IV) dexamethasone to the local anesthetic is an opioid sparing technique that has been shown to significantly prolong the duration of various PNBs including an ISB in recent years.

Author Details

Ngoc-Thao Nguyen, DNP(c), BSN, RN

Sigma Membership

Non-member

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Dexamethasone, Intravenous Vs. Perineural, Analgesic Adjunct, Peripheral Nerve Block, Postoperative Pain

Advisor

Sanford, David

Second Advisor

Westbrook, Nancy

Degree

DNP

Degree Grantor

Samford University

Degree Year

2021

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-03-24

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