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

Abstract

Introduction: The study of the efficacy of the cervical epidural block in shoulder girdle surgery allows us to identify the most frequent complications 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: Observational, descriptive and cross-sectional study at the Martín Chang Pug Teaching General Hospital in the Neuritis municipality, Camagüey province, between January 2021 and December 2022. The sample consisted of 25 patients undergoing shoulder girdle surgery who underwent surgery. Cervical epidural anesthesia was applied. Results: There was a predominance of males (18 out of 25 patients), and most of the patients were between 19 and 59 years old. Patients classified as ASA II (17 patients) predominated. Heart rate and mean arterial pressure followed a Gaussian distribution at 30 and 60 min after starting the cervical epidural block (df: 25; p>0.05). Both heart rate, mean arterial pressure, and partial oxygen saturation decreased significantly 60 min after the anesthetic technique was applied, but remained within normal limits. 100% of them reported having felt satisfied with the anesthetic procedure. Conclusions: The hemodynamic values remained within normal limits in the first hour of the intraoperative period, and all the patients were satisfied with the results of the analgesia achieved by this method. The use of cervical epidural anesthesia in shoulder girdle surgery is effective and safe.