528
PŮVODNÍ425200011151111173233294355388
PRÁCE839200011151111174230285
/1150200011132
ORIGINAL1208200011158118151213244306367421
PAPER1654200011151107163217278
Ultrasound425320097527198125164196241286331377
assessment8193200973870102144176208275316361388
of12243200974468
diaphragmatic13093200974564103149194221260306373412439458495
movement182032009767112150190258299344371
post22083200974591123151
selective2375320097327393134171200219258298
superior26903200973276122164191210255282
trunk2989320097275398143181
block31873200974666110148185
versus33893200973979106139183215
conventional36213200973680125163203248274294338383423442
interscalene4080320097196390130157190227267286327372413
block45103200974666110147185
in47123200971964
shoulder47933200973176121166185231272299
arthroscopy5109320097396595139166210243279323369407
8253200011146
|343200011126
ANESTEZIOLOGIE4268040010753112155200245290342362425467527586607650
A10988040010753
INTENZIVNÍ1172804001071978123168227276296345405426
MEDICÍNA16198040010770114174195248268328382
/20468040010732
Anest21238040010753101145179208
intenziv235180400107186693136184221240281
Med.26528040010770114164180
2025;36(1):8-142852804001074487128172185229273296336354368412441479518
/34158040010732
www.aimjournal.cz48358040010765133201214257275349367415463490539579598614654693
https://doi.org/10.36290/aim.2025.01242543009543679513916918321423665843009846921147724300951457811251549254300984383102148191234277321347386408476496542585627671689733774812
Ultrasound425910030515723733244957368181095110971235
assessment1711910030512022833745756467287799511371232
of29939100305125215
diaphragmatic3259910030513621634247962173986398711951321141514941607
movement4251170030520232845056877188810311126
post160111700305136265372471
selective212311700305102223297414529630709829946
superior312011700305103245380500614696822936
trunk41071170030595213359505650
block480811700305135209335451593
versus42514300305119237352460601708
conventional1184143003051112403825026207628579361062120513301411
interscalene26451430030574222317439553662778902983109912421359
block405414300305135210335451593
in46981430030574222
shoulder42516900305103247373514593730847962
arthroscopy143716900305120240344490609738845962109012271349
Sultan4252080014965134167211275345
W.79420800149107133
A.,9512080014979112144
Metwally111920800149102165210302365398430493
A.16362080014979112
A.,17722080014979111144
Soliman19402080014965134167199302366436
A.24002080014979111
M.,253620800149101134166
Mahdy272620800149102165235307369
W.,312020800149106132165
Afify33092080014979118152193259
N.35922080014983115
Anesthesia4252310012161116167206240295346385408456
and9022310012148104160
Intensive1084231001212379111161216255278326375
Care14812310012158106139188
Department,16912310012166117174223255291375425481513534
Faculty2246231001214993138193216249299
of2567231001215484
Medicine,26722310012180131188211256279334385405
Menoufia30982310012180131187242297326353401
University,35202310012164119142191240273313336369419435
Egypt39762310012149104152210243
Study425271001235287145204256
objective:7032710012356116143196243281307360411435
Our11592710012169125157
aim1337271001214871154
was15122710012174122161
to1694271001213387
evaluate1801271001215098147170225273305354
the2176271001213388139
incidence2335271001212479124147203254309354403
of2759271001215584
hemidiaphragmatic28642710012155106189212269292340397453485534589673721753776821
paralysis37062710012157105138186210257297320359
after4085271001214978114163196
selective4302271001213990114164210245268316366
superior4688271001214094151202235258313346
trunk5055271001213366121176223
block5299271001215781136181228
compared425285001214599182239288320370427
to873285001213387
conventional982285001214498154200249305337360415471519543
interscalene1546285001212378111160193233278327351401457507
block.2074285001215781136182228251
Study425299001214982138195244
design:6922990012156108148172229285306
A10202990012161
prospective1103299001215789144183240291337372395443492
double‑blinded16162990012157112167224248298332390414437492549599656
randomized2293299001213382137193249332355398448505
controlled2820299001214498154186219273297321371428
trial.326929900121336690137161182
Setting:4253130012352105142180206264323347
University7953130012165120143191240273313336369419
Hospital12353130012166121160217241274322346
of1602313001215584
Faculty1707313001214993138193216249299
of2027313001215584
Medicine.21333130012180131188211256279334385405
Material4253270012180129162212245269318342
and7863270012148104161
Method:9663270012180131165221276334355
Sixty‑eight1339327001214971118153202233285308364418450
patients18073270012156104136159209264296336
who21603270012173129183
were23613270012173122154203
scheduled2582327001213984138188245299322372429
for3028327001212983116
shoulder3161327001214094149204227283332365
arthroscopy3543327001214880116170202256295340393449495
were40553270012174123155204
divided4277327001215679126150206256312
into4607327001212378109163
two47873270012133108162
equal49673270012149106160208231
groups.5215327001215688142197253292313
The4253410012150106157
interscalene608341001212378111160193233278327351401457507
group1141341001215689143199255
received1423341001213282128177200249298355
ultrasound‑guided1804341001215579112144193232287342398454486545600623679730787
interscalene2617341001212479111161193234279328351401457507
block3151341001215781136182228
and34053410012148104160
the3592341001213388138
superior3757341001213994150201234258313346
trunk4129341001213366121176223
group4378341001215689143199255
received4660341001213282128177200249298355
ultrasound­5041341001215679112144193232287343398455486
‑guided425355001213088141164219268324
selective766355001213988111161205239262309357
superior1140355001213992147197229252306338
trunk1495355001213264118172218
block.1729355001215780134178224246
A19913550012161
total2068355001213386118166188
volume22733550012147100123177258308
of2598355001215482
152697355001215094
ml28113550012182105
of2933355001215482
0.25%3032355001215070122172248
bupivacaine32963550012156110166189236283327375397451500
was38133550012173120158
injected398835500121237799148193227275331
in4336355001212377
both44303550012156111142196
techniques.4643355001213381126179233256311364414452473
Incidence5132355001212478122144199249303347395
of425369001215584
hemidiaphragmatic5273690012156106190213270293341397453486534590673722754777822
paralysis13673690012157106138187210258297320359
was17453690012173122161
our19243690012155110143
primary2085369001215790114197245277328
outcome.24313690012155110143187241325375395
Block2845369001215478133178225
characteristics30883690012145100148181229274309359391415454488511556596
(procedure3703369001212885118172218267324379411461
duration,41833690012156111143192224247302358379
onset45803690012155111150200234
of4832369001215584
sensory4935369001213990145184240272323
block,5276369001215781136182228252
and4253830012148103160
duration6043830012156111143192224247302358
of981383001215584
motor10833830012184139172226259
block),1361383001215681136181228257275
block1655383001215781136182228
quality19023830012156111159182205239288
(intraoperative2209383001212851106138171219274331383415464496519568617
hemodynamic28453830012155105189244301349405453537560605
parameters,34683830012157106138187270320354403436476498
intraoperative3984383001212479111144192247304355388437469492541590
fentanyl4592383001212980135168217272317342
consumption,4952383001214599154193248331388421444499555575
and4253970012148103160
time606397001213356140190
to817397001213387
the926397001213388138
first108539700121305688129162
call1269397001214593117140
of1430397001215584
analgesia),15353970012148104152175231282321344392418436
and19933970012148103160
incidence2174397001212378123146203253309354403
of2598397001215584
complications2703397001214599182239263286331380412435490546585
were33093970012174123156206
assessed3536397001214887127177216256306363
and39213970012148103160
recorded.4102397001213382128182215271321378399
Results:4254110012357110153210237273317341
The7944110012150106157
incidence976411001212479124147203254309354403
of1405411001215584
hemidiaphragmatic15154110012156106190213269292340397453485534590673721754777821
paralysis23624110012157106138187210258297320359
in2747411001212379
the2851411001213489139
interscalene3016411001212379111160193233279327351401457507
group3549411001215688143198255
was38304110012173122161
significantly4017411001213962118173196226252297345401433456504
greater4546411001215689139187219269301
than4873411001213388136192
that5091411001213388136168
in5285411001212379
the5389411001213489139
selective425425001214090114164210245268317366
superior812425001214094151202235259314347
trunk1180425001213366121177223
block1425425001215781136182228
(76.5%1675425001212879126147200277
vs.1974425001214888109
38.2%)21044250012152102124177256282
with2407425001217497131186
a26144250012149
p26844250012157
value2763425001214896120174225
of3009425001215584
0.001,3115425001215171123176223238
and33754250012148103160
it3557425001212356
was36354250012173122161
completely3817425001214599183239263314347396420468
affected4306425001214978110161206242291348
in4676425001212378
44.1%47764250012151105126171244
of5041425001215584
the5147425001213388139
inter‑5307425001212479111160193220
scalene425439001214085133156207262312
group755439001215689143198255
compared1028439001214498181238286319368426
to1471439001213387
11.8%1576439001215193108161240
of1834439001215584
the1936439001213388138
selective2092439001213990114164209244267316365
superior2474439001214094151202234258313346
trunk2838439001213365120175222
block3078439001215781136181227
group3323439001215688143198255
with3595439001217498131185
a37984390012148
p38644390012157
value3939439001214896120174224
of4181439001215584
0.002.4283439001215171123175224245
The45464390012149106156
procedure4720439001215789144189238295350382432
duration51704390012156111143191224247302357
(min)4254530012128109132187212
was6554530012174122161
significantly834453001214063119174197227253297346401434457504
greater1356453001215689139187219268301
in1675453001212479
the1772453001213388138
selective1928453001214090114165210246269317366
superior2312453001214094151202235258313346
trunk2676453001213366121177223
group2917453001215689143198255
than3190453001213388136192
in3400453001212378
the3496453001213388139
interscalene3653453001212378111160193233278327350401456507
group4178453001215688143198255
(6.97±0.67)445145300121287798148197252303324375423452
vs.4921453001214887108
(6.48±0.69),504745300121297899150203262313334385435462480
respectively,425467001213383122178230275311334382431455502518
with967467001217397130185
no11754670012156111
significant1309467001213962118174197226252297346401433
differences1765467001215780109142192225275331376425464
in2252467001212479
the2354467001213388139
remaining2516467001213282166214237292315370426
block2966467001215681136181228
characteristics32174670012145100148180229273309358391414454487510555596
and38364670012148103160
block4019467001215781136182228
quality42704670012157112160183206239289
parameters45824670012157106138187270320354403436476
as5081467001214988
well.51924670012174123147170191
No54064670012166121
significant425481001214062118174197226252297346401433
complications880481001214498182238262285330379411434489545584
were14854810012174123156206
reported.1712481001213383140196229265314371392
Conclusion:4254950012359115173219246304347373431489513
Although958495001216184117172227283339394
US‑guided13704950012165113145204259282338388446
interscalene1834495001212378110159192233278326350400455506
and23584950012148103160
selective2536495001213990113164209245268316365
superior2919495001213994150201234258313345
trunk3282495001213366121177223
blocks3523495001215781136182228270
addressed38114950012148105161194244283322372430
an42594950012148103
equivalent43804950012150107162185233281305355411443
quality,48414950012156111159182205238288304
selective5163495001213990114164210245268316365
superior425509001214094151202235258313346
trunk792509001213466121177223
block1037509001215781136181228
was12865090012174122161
associated1468509001214988127182228251298331380438
with1927509001217397130185
a21335090012149
significantly2203509001213962118174197226252297346401433456504
lower2728509001212479152201234
incidence2983509001212479124147203254309354403
of3407509001215585
hemidiaphragmatic35135090012155106189212269292340397453485534590673721753776821
paralysis.43555090012157106138187210258297320359381
Key4255260012358108158
words:6035260012375131167225267290
shoulder915526001214095150205229285336368
arthroscopy,1305526001214880116171204258298343396453500516
interscalene1842526001212379111160193234279327351401457507
block,2370526001215781137182229252
selective2643526001214090114164210245268317366
superior3030526001214094151202235258313346
trunk3397526001213466121177224
block.3642526001215781136181228251
Ultrazvukové4255500016686128174233296354418493567631692751
hodnocení11935500016677141212287351409469542581
pohybu17915500016674139212271341413
bránice22215500016673131193269308365425
po26635500016674139
selektivní28195500016656117152211282332370430506545
blokádě33815500016673109172243307377436
truncus38345500016652111186260317390443
superior42945500016656128197257315354418475
brachiálního47865500016674131194250324363426465540579655718
plexu4255640016674110168235308
ve7505640016665124
srovnání8915640016656114180242318381456495
s14035640016656
konvenční14765640016676140213273332405462536575
interskalenickou20685640016641116163224282336408472511569642681738810874946
blokádou30305640016674110173244308377441513
při35605640016674132172
artroskopii37495640016665126177236302355428492561598637
ramene44035640016661124232291364423
Cíl425585001235984111
studie:554585001234277134192218270293
Naším8645850012166114153176260
cílem114258500121446793143226
bylo13865850012157104128183
zhodnotit1587585001214398153210266321354377410
výskyt2015585001214898138185235271
hemidiafragmatické23045850012156106190213269293340369403451507590638671694739785834
parézy31565850012157106138188231281
po34555850012157113
selektivní3586585001213990114164211247270319375398
blokádě4002585001215781136183232289339
truncus4359585001213366121176221276315
superior4692585001214094151202235258313346
ve5056585001214897
srovnání5171585001214072127174230278333356
s4255990012140
konvenční4865990012147100156203252307352407430
interskalenickou938599001212378111160193233280329352403458482526573626682
blokádou.1641599001215781136183233289344400421
Design4256130012368120162188246303
studie:749613001234177134192218270293
Prospektivní1063613001215385140179235286334369392441497520
dvojitě16046130012157105159183206239288
zaslepená1913613001214393132155206263314370418
randomizovaná2352613001213381136193248332355398452500548603651
kontrolovaná30256130012146100156188221275299354402450505553
studie.3600613001213973128185208258278
Prostředí:425627001235691148189225260312371397420
Fakultní866627001214993140195219252307330
nemocnice.12176270012156106190245291346369414463483
Materiál4256410012382133168219254280330356
a7986410012350
metodika:8656410012385136172227286311362413436
Šedesát1318641001214999156206245294326
osm1661641001215594176
pacientů,18556410012156105149172222277309363384
kteří2257641001214682131163186
měli24616410012183133156179
podstoupit26586410012156112169208241295350406429462
artroskopii3138641001214880115147202241287340397420443
ramene,3599641001213280163213268318338
jsme3954641001212564146196
rozdělili4168641001213286128184234257280303326
do45116410012156111
dvou46396410012157105158213
stejných4870641001213973121145200245288343
skupin.5231641001213985140197220275296
V4256550012156
jedné510655001212576134191242
byla7816550012157105129178
použita9886550012158114171214238272322
ultrazvukem1338655001215680114147196240292349396446531
navigovaná18986550012156105152176233289337386443491
interskalenická2418655001212480113163197238285335359410467491536583633
blokáda3080655001215883139187237294343
a34526550012149
ve3530655001214898
druhé3657655001215791147203254
skupině3940655001214088144202226282333
byla43026550012158105130178
provedena4509655001215891147195245303354411460
ultrazvukem4997655001215680114147196240292349396446531
navigovaná4256690012155104150174230285332380436484
selektivní929669001214090114165212248271319375398
blokáda1348669001215781136183232289337
truncus1705669001213366121177222277316
superior.2041669001214094151202235258313346363
Při2424669001215385108
obou25536690012155112168223
technikách2796669001213383128183239262308358402457
byl32746690012157103127
aplikován34226690012148105129152198252299348403
celkový3845669001214594118164218265316
objem41816690012155112136187270
154472669001215195
ml45886690012183107
0,25%4715669001215172125176253
bupivakainu.49886690012157112169193241289336385409464518539
Primárním425683001215385109192240272328351434
sledovaným886683001214063114171226273322377422507
parametrem14206830012157105138186269320353386436519
byl19666830012157104128
výskyt2121683001214899138185235272
hemidiafragmatické24206830012155105189212269292340369402451507590638671694738785834
parézy.32816830012157105138188231281298
Zhodnotili36066830012155110165222277332365388412435
a40686830012148
zaznamenali4143683001214392136191239323373429477500523
jsme4693683001212464147197
charakteristiky49176830012145100148180229276312361394417456490513560610
blokády425697001215680134181229285332
(trvání77469700121285990141189243266
výkonu,1057697001214797144197252306326
nástup14006970012155102141174228284
senzorické1701697001214089144186240273296340385434
blokády2152697001215680134181229285332
a25016970012148
trvání2566697001213365115163217240
motorické28236970012183137169223255278322368416
blokády),3256697001215680134181229285332358376
kvalitu3649697001214797145168190223277
blokády3943697001215780134181229285332
(peroperační4292697001212884135167221277327360407451506528
hemodynamické48376970012155105188242298345401448530553597642691
parametry,4257110012157106138187270320354386437453
peroperační8997110012157108141195252304336385430485508
spotřebu1428711001214096152185217267324379
fentanylu1829711001212979135167216271317341396
a22467110012148
dobu23157110012157112169224
do25607110012157112
prvního2693711001215790141197220278333
žádosti3047711001214392149204243277300
o33697110012154
analgetikum)34457110012148103151175231281314338384440523548
a40147110012149
výskyt4084711001214898138185235271
komplikací.43777110012146100184241265288334383428451472
Výsledky:4257250012360110151176227285336388412
Výskyt8547250012155103142188237273
hemidiafragmatické11447250012155105187210266289336364397445500582630662684728774822
parézy19847250012156104136185228277
v22787250012148
interskalenické2343725001212378110158190230276325348397452475519565613
skupině2973725001213985140196219273323
byl33137250012157102126
signifikantně3456725001214062117172194223249295343398429484534
vyšší4007725001214897136175197
než42217250012155105148
u43867250012155
selektivní4458725001213989112162208244266314369392
blokády4867725001215780134181230285332
truncus5217725001213264119174218272310
KORESPONDENČNÍ48575700974397142182222265321375429469522569622642
ADRESA1144757009749102146187227276
AUTORA:143775700974999140194239290307
1761758009518
Článek330575700984768110156198240
přijat35627570098467697119160189
redakcí:376775700982971119160201237258277
22.40617580095397892
11.41717580095397080
2024;426975800953977115151164
Článek445075700984768110156198240
přijat47077570098467697119160189
k4912757009841
tisku:49697570098284983125172191
1.517675800953949
4.524375800953953
2025531375800953978115155
Wesameldin485770009566103133171237276294338355398
A.90077000954764
Sultan,9817700095378097122159202216
wesamsultan@med.menofia.edu.eg12157700095579612716423026030231934438142448354958963464871575479884186388191793297110161058107311121157
2390770009517
Cit.40697690098476897118
zkr:420376900983678108128
Anest434977000954790130160186
intenziv45537700095165983122165198215252
Med.4823770009562102147161
2025;36(1):8-14500277000953977115154166206245266302318331370396431466