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PŮVODNÍ4021200011151111173233294355388
PRÁCE4435200011151111174230285
/4746200011132
ORIGINAL4804200011158118151213244306367421
PAPER5250200011151107163217278
Ultrasound436320097527198125164196241286331377
assessment8303200973870102144176208275316361388
of12353200974468
diaphragmatic13203200974564103149194221260306373412439458495
movement183132009767112150190258299344371
post22193200974591123151
selective2386320097327393134171200219258298
superior27013200973276122164191210255282
trunk3000320097275398143181
block31983200974666110148185
versus34003200973979106139183215
conventional36323200973680125163203248274294338383423442
interscalene4091320097196390130157190227267286327372413
block45213200974666110147185
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arthroscopy5120320097396595139166210243279323369407
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Anest25638040010752100145178207
intenziv279080400107196794136184221240282
Med.30918040010770115165181
2025;36(1):8-143291804001074487129173186230273297337354369413441480519
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ANESTEZIOLOGIE39528040010753112156200245290342362425467527586607651
A46248040010753
INTENZIVNÍ4698804001071978123168227276297345405426
MEDICÍNA51468040010770113173194247268327381
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superior42554001214094151202235258313346
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38,21244540012152102123176
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s1568540012139
hodnotou1629540012155110167223278311365420
p2070540012157
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přičemž240854001215790114158207291334
kompletní2763540012147101184241265315349404427
paréza3211540012157106139188232282
byla3514540012157103127175
přítomna371154001215789113146200284339387
u4119540012155
44,14196540012151105125170
%4387540012179
v4488540012148
interskalenické455754001212379111160193233280329353403459482527573622
skupině520054001214087142199222277328
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srovnání54568001214072127174230278333356
s924680012140
11,898768001215192108161
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skupině139368001214086142198222277327
se174368001214090
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blokádou227768001215781136184233290345400
truncus270068001213366121176221276315
superior303868001214094151202235258313346
(p340768001212985
0,002).351568001215272123176225251269
Doba3807680012167123180228
trvání405868001213366117166221244
výkonu432568001214899146200256310
(min)4658680012128109132187213
byla4893680012157104128176
významně509268001214899144199247330386436
delší425820012156106129168190
ve63382001214796
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se108782001214089
selektivní119482001213989113162209244267315370393
blokádou160482001215780135181230286341395
truncus201782001213264119174218272311
superior234682001213993149199232255309341
než2705820012155105147
ve287082001214896
skupině298382001214086140197220274324
interskalenické332482001212478110159191231277326349398453476520566614
(6,9739568200121287697145194
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resp.445882001213382121177196
(6,4846718200121297798149201
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přičemž519882001215789112156205287330
ve42596001214897
zbývajících549960012143100147198247270294338361406461
charakteristikách1037960012145100148180229275311361393417456490513560609654709
blokády177396001215781136183232289337
a2137960012148
parametrech2212960012157106138187270320354386436482537
kvality277696001214798147170193226276
blokády307996001215781136183233289337
nebyly3443960012155106163209234281
zaznamenány375196001214393136192240323373429477532578
signifikantní435696001214062118174197226252299348403436491514
rozdíly.489796001213388129186209234282298
Rovněž5222960012154109156212263306
nebyly4251100012155106163209234281
hlášeny727110001215679127166216272318
významné1066110001214899144199247330386436
komplikace.15231100012147101185241265288335384429478498
Závěr:4251240012357109158208244269
Ačkoli7131240012161105151205229252
ultrazvukem984124001215579112144193236287343389438522
navigovaná15251240012156104150174230285332381436484
interskalenická2029124001212378111160193233280329352403458481526573622
a26701240012149
selektivní2738124001214090114165212248271319375398
blokáda3156124001215781136183232289337
truncus3513124001213365121176221276315
superior3847124001214094151202235259314347
byly42131240012157103128175
z44081240012142
hlediska4470124001215579129186210249295345
kvality4834124001214798147170193226276
analgezie51291240012149104152175231282325349399
rovnocenné,425138001213387134191246291340396451502522
selektivní968138001213990114164211247270319375398
blokáda1387138001215781136183233289337
truncus1746138001213365121176221276315
superior2082138001214094151202235258313346
byla24501380012156103127175
spojena2646138001214096152176226282330
s29971380012140
významně3058138001214899144199247330386436
nižším3515138001215679122163186269
výskytem3805138001214899139185236272321405
hemidiafragmatické42311380012156106190213269293340369403451507591639671694739785834
parézy.50871380012156105138187231281297
Klíčová425155001235885111155211261312
slova:758155001234268124174225248
artroskopie1027155001214881117149204243290343400424474
ramene,1522155001213382165215271321341
interskalenická1885155001212378111160193233280329352403458482526573622
blokáda,2528155001215781136184233289337359
selektivní2908155001213990114164211247270319375398
blokáda3327155001215781136183233289337
truncus3685155001213466122177222277316
superior.4022155001214094151202235258313346363
Introduction4251980015340115166227293365436493547587653726
Shoulder425216001074290138186205254298325
arthroscopies77121600107406798146172219253294340390409453487
are1279216001074167110
associated1410216001074074107156197215256283325375
with1806216001076584112161
significant1987216001073452101149168192212252293341368
post‑operative2376216001075099132161186236286331357399426445486529
pain425230001075195114164
[1].618230001092671937102300010716
Interscalene75423000107207098143171207249292313358409455
brachial1237230001075180123166216235277298
plexus1563230001075172118159210244
block1836230001075172122165205
(ISB)206923000107244487133156
is2254230001071953
considered2336230001074190140175194246292319364416
the2781230001072879125
standard425244001073463104152201242268317
and760244001074189138
effective91724400107446795138180210229270313
analgesic1248244001074189130149198242276294335
modality16012440010774122172213232250278321
after194124400107406495138165
shoulder2124244001073481130178197246290317
arthroscopy;245924400107416798147173220254294341391430446
however,425258001074896160204244287313324
it766258001071846
has829258001074888121
been966258001075094139186
shown1169258001073381129193241
to1427258001072774
be1517258001074994
associated1627258001074174107155196214254281323373
with2016258001076584112160
undesirable2192258001074895144188221239265307356375419
adverse2627258001074190131174200234278
effects,42527200107446997141183214250266
such718272001073482124173
as918272001074175
hemidiaphragmatic1020272001074994169188238257299349399426468519593635663682723
paralysis1770272001075193120163182223258277310
(HDP),2107272001072481141187210224
especially2358272001074479129175217236277296316356
with2741272001076686115164
high425286001074867116164
volume610286001074188108155229273
local904286001071968109150169
anesthetics1095286001074088133166195244288316334375409
due1526286001074996140
to1687286001072875
the1783286001072876120
involvement1925286001071866106153173214257331375423450
of2396286001074872
the2489286001072876120
phrenic2631286001074998124167215234274
nerve.425300001074892119163206221
This665300001074291110143
represents827300001072669119146189222267315342376
a12223000010741
major12823000010774115134182209
issue151030000107195185132176
among17053000010741114163211261
patients1985300001074991118137181229256290
with2294300001076585113161
pre‑existing2474300001075077119149195234254286315334382431
pulmonary425314001075098117190239287328354397
diseases842314001074968100145185218262296
[2,115831400109267290
3].126731400109466913353140010716
Laurent565328001074082130156199247273
et855328001074471
al.94332800107416075
defined1035328001074993116136184228278
the1329328001072876120
superior1465328001073481130175201220268295
trunk1777328001072754102150188
block1982328001074969117158196
(STB)2194328001072464107154176
which23863280010765114132172220
is2623328001071851
a26903280010741
new2748328001074892157
modification4253420010774122172191215235275316344362410459
of901342001074872
the989342001072876121
interscalene112634200107196794136163197238279298342390434
block.1577342001075069118159197215
A18093420010752
local1878342001071967108150169
anesthetic2064342001074089133166195244288316334375
was24553420010765107140
injected261234200107196785129170200243293
selectively42535600107347999144186217236278322342383
around835356001074168116165214264
the1126356001072878123
superior1276356001073482132178205225274301
trunk.1604356001072856105154193211
They1842356001074393138179
have2048356001074990131175
reported2250356001072771121171199230274325
that2602356001072877119146
this277535600107297897130
technique425370001072870112160208226275323367
limits817370001071938111130158192
the1035370001072876120
local1181370001071967108150168
anesthetic1375370001074189133167196244288316335375
extension1775370001074484114157205238256304353
to2153370001072875
the2253370001072876121
phrenic2399370001075098125168216234275
nerve2699370001074892119163206
and,425384001074087136151
hence,591384001074891138178219233
decreases840384001074891131157199238271314347
the1202384001072875118
incidence1336384001071965105123171214261301342
of1694384001074770
hemidiaphragmatic1780384001074891163181229247287335383408449497569609636654693
paralysis2489384001074989115156174213246264296
[4].28013840010925689128903840010715
This565398001074292111144
randomized736398001072669117167216290309346390440
trial120339800107285574115134
investigated1364398001071967107150185214233283324351394445
whether18353980010766115159187236281308
selective216939800107347998143184215234275319
STB2515398001074285133
would26743980010766114162182231
reduce425412001072770120167208250
hemidiaphragmatic692412001074993167185234253293343391418459509582623650669709
paresis1419412001074991117160194212245
in1681412001071967
participants1766412001074991117148167207226275317365392427
undergoing2210412001074896145190216264312331379429
arthroscopic265641200107416798147173220425426001073474121171190230
shoulder675426001073481130178197246290317
surgery.1011426001073481107155200226269281
The565440001074190133
primary71344000107497594166205231273
outcome1001440001074895122159205277321
of1337440001074770
the1423440001072774117
trial155644000107275372111129
was17014400010764104136
the1853440001072774118
incidence1986440001071965105123171213260300341
of2343440001074770
diaphragmatic2429440001074866105153201226267315387427453425454001071959
paralysis500454001075091118159178218252270302
after81945400107416496138164
ultrasound100045400107486694121162195244292340389
(US)1405454001072480120143
guided1565454001074996114163207257
selective183945400107337796140181212230271314
STB2170454001074185131
and2318454001074188138
interscalene247245400107196793136162196237278297341389433
block425468001075070119160198
(ISB)65046800107244384128151
in827468001071968
shoulder921468001073482131180199248293319
arthroscopy.126746800107416899148174222256297344394434446
Block1740468001074565114155194
characteristics1960468001074089130157199240270313340359392422441481517
(procedure2503468001072475102149191234284332359402
duration,425482001074996123164192210258307322
duration771482001074997123165192211259307
of1102482001074872
motor11984820010774122149196223
block1445482001074969117159196
and1665482001074189139
onset1827482001074897130174202
of2053482001074872
sensory2149482001073377125158207234277
block),2450482001074969117158196221235
block2709482001074969117159196
quality425496001074895135154172199241
(intraoperative68249600107244289115142182230279324350391417436476519
hemodynamic1217496001074791164211261300349389461480519
parameters,1752496001074990116157230273301343369402418
intraoperative218649600107186692118159207256300326367394412453495
fentanyl2697496001072466114140181425510001074887107
consumption,549510001074187136169216289339366385433482497
and1064510001074189139
time1221510001072746120164
to1403510001072874
the1495510001072876120
first163351000107244470104133
call1784510001074082101119
of1921510001074872
analgesia),2011510001074189129148198242275294334356370
and2398510001074189139
incidence2555510001071866107125175219267307350
of425524001074872
complications517524001074086160210230248288330357376424472505
of1042524001074872
either113452400107436290138182209
block1363524001074969117158196
were15795240010765108135178
our1777524001074796122
secondary1919524001073377119165214263304330373
outcomes.2312524001074896124163210284328362378
The565538001074292136
hypothesis727538001074887137187214262306340358391
of1144538001074872
our1242538001074897123
research1391538001072770103148188214253301
was17195380010765106139
that1885538001072776116143
selective205553800107337797141182212231272315
STB2397538001074185132
would25555380010765113161180229
be2810538001075095
associated425552001074073106153193212251277319368
with809552001076483110158
a9835520010740
lower1039552001071966130172198
incidence1253552001071865105123171215262302343
of1612552001074771
diaphragmatic1699552001074866106154202228268317389429456474513
paralysis2228552001074990116157175214247265297
compared2541552001073985158207247273315364
to425566001072874
that519566001072876117144
of683566001074872
interscalene77456600107196794136163197238279298342390434
block.1228566001075070118159197215
Materials4255900015398163214274335377441483537
and9985900015362137208
methods124159000153102161214288352424478
This425608001074394113147
prospective599608001075179127162212258301332352394438
double‑blinded1065608001074999150201223269300352374394444496542594
randomized1688608001072771121173224301321359404457
controlled2174608001074190141169198247268289335387
trial259060800107295778121141
was27606080010767110145
performed425622001075199128158208238316363417
at874622001074272
Menoufia9786220010772120171223274300322366
University13766220010758109130174220249286306337383
Hospital.17916220010759110146199220251295316334
The2158622001074396143
study2334622001073466117169213
protocol2579622001075181131161210255304326
was4256360010765107141
reviewed590636001072770112132177243287338
and952636001074190140
approved1116636001074091142170218259303354
by1493636001075090
the1607636001072877122
ethics1753636001074372121141182217
committee1994636001074088163237257286317360406
(IRB242463600107244389136
approval2584636001074091142170218259301321
number425650001074897172223269296
2/2022750650001074478124168210255
ANES10346500010752111154198
37),1260650001074486111126
Menoufia14146500010770116165215264289310352
University17946500010757105125167212239275294323367
Hospital,21896500010757107141192212241284304320
Menoufia,25376500010770116165215264289310352369
Egypt425664001074395139193223
on6856640010750102
20824664001074591
February952664001074389142172224268297344
2022.1333664001074591136183201
It1571664001071950
was16586640010767112148
prospectively1843664001075181132168221269314347369413459481525
registered2405664001072773127148184216262291337391
at2833664001074272
https://pactr.samrc.ac.za425678001074774104153186201235260307348388418444456490532604630669685727767783822864
(PACTR1305678001072468114163208254
202202483221034)1575678001074386127170212253293338380420463502541583627648
prior224067800107487594142168
to2425678001072773
enrollment2515678001074390116163182201273316364390
of425692001074873
the523692001072777122
first67069200107234471106136
patient831692001075092120140184234261
on1117692001074898
231239692001074489
February1353692001074285136164213255282326
2022.1704692001074488130175191
The1920692001074292137
trial208269200107285676117137
was22446920010765107141
conducted2410692001074088137187236277308352403
in2838692001071867
accordance425706001074080119165192239280327367409
with851706001076483111159
the1027706001072775119
World11637060010772118144164213
Medical13937060010768112162180220261280
Association1690706001075287120168209227267294313360408
Declaration21157060010758102143162202228269296315362411
of2543706001074771
Helsinki2631706001075599118151169216254274
and425720001074088138
following58172000107237090109158222242290339
the938720001072775120
Reporting1075720001074590139188216247266314363
Trials145672000107416382123142175
(CONSORT)1648720001072474131189230290336379407
guideline2072720001074996115164208228247295339
Consolidated2429720001075097146179227247266315356383426476
Standards.425734001074269111160210252279328362380
All83373400107527292
eligible95273400107446483133153203224269
patients1249734001074992120139184233261297
provided1573734001075078126167187237282333
written1934734001076593113142174217266
informed222873400107196892140168243289340
consent,2595734001074088137171216265293310
and425748001074190140
the587748001072777122
privacy73074800107507898140182224267
rights101874800107274797146174210
of1249748001074873
human1343748001074997171213262
subjects1627748001073381131152196238270305
have1954748001074890130174
been2150748001075095141190
observed.2362748001074899133178205250293344360
The565762001074292136
trial71976200107275474114133
included870762001071866107126173223267317
sixty‑eight120576200107335191121164191237256305353380
patients1603762001074991118137181229256291
of1911762001074872
both2001762001075099126175
sexes,2194762001073377117160194210
aged2421762001074191135185
182624762001074483
to2725762001072774
802817762001074488
years425776001074083123149184
old,628776001074868117132
who7807760010765114162
were9627760010765108134177
scheduled1159776001073474122166216264283327377
for155577600107247198
arthroscopic167377600107416798146173220253294341391410450
shoulder2143776001073381129178196246290316
surgery2479776001073380107155199225268
and2767776001074189138
had3047202001074889138
an3206202001074190
ASA3319202001075397149
I34912020010719
or3533202001074876
II3632202001071938
physical3693202001075099139174193234276296
status4012202001073464106134183217
according4251202001074183122170198247266315365
to4639202001072876
the4738202001072776122
American48822020010753128173200220262304353
Society5258202001074291133153197226269
of3047216001074772
Anesthesiologists31372160010752100144178208256300334353401421469519539572601636
(ASA).3791216001072376119171194208
Patients4017216001074585112132175224251286
who43212160010764113161
had4500216001074889138
pre‑existing4656216001074976120149195235254287317336384433
neuropathy5107216001074892140167214264306333382420
in3047230001071968
the3135230001072877122
operated3278230001074899145172215243286337
limb,3636230001071938113163179
ASA3835230001075397150
≥40052300010754
III,40802300010719395875
coagulation4176230001074087130180228248290318337386436
disorders,4633230001074968102151179228273300335352
local5006230001071968110153173
infection519923000107196892137179210230279328
at3047244001074169
the3142244001072877122
puncture3290244001075099148190221270297341
site,365724400107345382125141
known3824244001073888138203253
allergy410324400107416181125153202243
to4372244001072876
local4474244001071968110153172
anesthetics,4673244001074189135169199248293322342383419435
respiratory5135244001072670105155175202245273320348392
failure304725800107246990110161189235
or3312258001074978
chronic3420258001074192120170222242285
obstructive37352580010749102138169198249293325346390436
pulmonary42002580010751103124200252303346375421
disease,4651258001075070106153195231278294
breastfeeding,4975258001075180126169204236264310358411432482534552
pregnancy,3047272001074977121171220261310351394406
a34722720010740
BMI35302720010746116136
≥36842720010754
353756272001074486
kg/m2,3859272001073886120192405127200632540772720010716
failure411127200107236685105153180223
to4353272001072775
cooperate,4446272001074087137187233260302330373388
and4853272001074089139
patient5010272001075092120139183232260
refusal528827200107267094144178220240
were30472860010765109137181
excluded.3249286001074484125144193242286336352
Eligible318730000107426179128147196216260
patients3465300001075092119138181230256291
who37753000010765114162
satisfied3956300001073375102121154179198242292
all426730000107416078
inclusion4364300001071967107126174207225273321
criteria470430000107406786114157183202243
and4965300001074189139
did5122300001074968117
not5258300001074897124
satisfy5401300001073375102304731400107195276120
any3190314001074189127
exclusion3340314001074484123142189222240288337
criteria370031400107406786114157183202243
were39663140010765108134177
randomized4166314001072769117166214288307344387437
1:1462631400107435391
using474031400107478099147196
a49593140010741
computerized5023314001074086160210258286329356375411454504
software3047328001073381105136202243269312
program3375328001074975122171197238311
(GraphPad3702328001072477104145194242286326375
software4093328001073381105136202243269311
QuickCalcs,44213280010760107126165203254295314354388403
Inc.,4841328001071866106122137
California,4994328001075192110128152199225274292332347
USA)5357328001075696147170
(website:3047342001072488131182215234262305321
http://www.graphpad.com/quickcalcs).33943420010749761071571722062322973664344474975235666156657157578068238639109851018106311111130117112091249129113101351138614071421
The4841342001074292137
allocation500434200107426180128170212239258307356
was53863420010766108141
concealed3047356001074088137178221261280325376
from3449356001072452100174
the3650356001072877122
clinical379835600107416079127146186228248
staff,4072356001073463105129157170
trial426935600107285575115135
investigators,4430356001071968107151185215234283325352399426461477
trial493435600107285575116135
statisticians,5095356001073464105133152185215234274293334383416432
and3047370001074189138
participants.3209370001074991117148167207226275317365392427443
The3676370001074191135
patients3835370001074991118137181229256290
were41493700010765108135178
randomly4350370001072668116165214288307347
assigned4720370001074174108126175223267317
to5060370001072875
receive5158370001072770111153172213256
either54373700010744633047384001072876120147
US‑guided3213384001075696125176223242291335385
ISB3618384001071959103
or3741384001074874
selective383538400107337897141182212231272315
STB.4170384001074185132148
An43373840010753101
anesthesiologist4457384001074189133167196244288322340388408456506525558587
who50633840010765113162
was52443840010765107140
not5403384001074897124
involved3047398001071967106154173214257307
in3377398001071967
the3467398001072776120
data3610398001074989116158
collection3791398001074086106125168210240259307355
of4169398001074872
the4264398001072876120
trial440739800107285474114133
conducted4563398001074086135185232273303345395
the4981398001072876120
entire5124398001074492119138164207
drug5354398001074975123173
preparation3047412001075077120169211237279306325373421
and3488412001074189138
block3646412001075070118159197
administration.3863412001074090163182230248281310337378406424472521537
All318742600107527088
patients3290426001074990116134176223249283
were35884260010764107132174
administered3777426001074189160178225243274302344369411460
bromazepam4252426001074975121193233269311359400471
(1.5473942600107236272116
mg)48694260010773121143
the5027426001072875118
night5160426001074865113160186
prior536142600107497594140166
to3047440001072874
surgery3138440001073380106154198224267
and3421440001074189138
two3575440001072895142
hours3734440001074896144170204
prior395544000107497695143169
to4141440001072874
the4231440001072876120
call436844000107408199118
to4502440001072874
the4593440001072876119
operating4729440001074897142168210237255303352
room.5097440001072774122196212
Upon53264400010756105154202
entering3047454001074492119161188207255304
the3368454001072876120
operating3505454001074898143170211239257305355
room,3877454001072673122196212
standard4106454001073462104152201242268317
monitoring44404540010773122170189217264291310358407
was48644540010765107140
implemented,5021454001071992142161205279323371398441491506
an3047468001074189
18-gauge3163468001074483111163204251301345
cannula3534468001074182131179226245286
was38464680010766107141
inserted4013468001071967100144171202245295
in4334468001071967
a44284680010741
peripheral4495468001075095121141190239284310352371
vein4893468001074084102150
and5070468001074189139
lactated5235468001071960101131173200242293
ringer304748200107264491138181206
infusion326848200107196587135166184230277
was35604820010764104136
initiated.371148200107186482109127166192233281296
Before4022482001074588110156182224
performing4261482001074892117143189215287304351398
the4674482001072874117
block,4806482001074967114154190207
an5028482001074087
assessment5130482001074072104147179211282325372397
of3047496001074872
diaphragmatic3139496001074967108157206232274323397438465483524
movement36834960010773122162205279323371398
at4101496001074168
baseline4189496001075091125169188206254299
was45074960010765107140
done4667496001074997146190
using487749600107488199147196
a50934960010741
curvilinear5154496001074088114158177196215262307347373
probe.3047510001075077124174219234
Both3297510001074694122170
hemidiaphragms3484510001074892166184233252292342391417459508581615
were41155100010765109135178
visualized431051000107416093140180199218254297347
using467451000107488199147196
B‑mode4887510001074674149197248292
while51955100010765114133151195
the5407510001072876120
excursion3047524001074483123170197231249297346
was34135240010765106139
measured35725240010774118158191238265308358
using395052400107478099146196
M‑mode.4165524001077199174222272316331
To3187538001074286
achieve3299538001074283131150195236280
a36055380010742
Ramsey3674538001074587162195240280
Sedation3981538001074287138179207226274324
Scale4331538001074384126145190
score4548538001073475122149193
of4768538001074872
248675380010745
to4938538001072876
3,5040538001074560
all512753800107416079
patients5233538001075092120139183232259295
were30475520010765108135178
administered3245552001074190164182230249282311353380422473
intravenous373855200107186693120162201244293341389422
midazolam4180552001077493142182220267286327400
246015520010743
to4665552001072774
547595520010744
mg48195520010773123
and4962552001074189138
fentanyl5120552001072467115142184232270290
up5430552001074897
to3047566001072874
1003141566001074484129
µg,3290566001074897113
which34235660010765113132172220
were36635660010765108135178
titrated.386056600107284775102144171213263279
Interscalene30475900015340115166226287341400464506565638697
block37675900015369109173232306
The3047608001074189132
same3200608001073376151196
anesthesiologist3417608001074089135170201250296331351401422472523543578608
administered4046608001074091165186235255289320364392436488
both45546080010749100129178
blocks4753608001074970120162202240
in5013608001071968
accordance5102608001074082122170199248290340382425
and3047622001074191143
complete3211622001074089165217239285315360
compliance3593622001074089165217239259302352395440
with4055622001076486116167
the4243622001072879125
antiseptic4390622001074091120141176223274304326368
regulations.4780622001072671124174195238267288339390425444
A52466220010752
linear532062200107194090136178207
US3047636001075699
transducer3178636001072857102153188241291334380409
of3619636001074874
high3725636001074870122172
frequency3929636001072454100153203250301344389
(13-64350636001072467107137187
MHz)45586360010770130169196
(Sonosite,4786636001072466118169220257278309354371
M‑Turbo,51896360010770101142187216269321338
Washington)30476500010774116152202224274326357407458482
was35556500010765109145
employed37266500010744120173195246288334387
to4139650001072877
conduct4242650001074089141193243286319
both45876500010750102132183
blocks.4796650001075072123167207247266
The5088650001074294141
patient5255650001075094124146192243273
was30476640010766112149
positioned32296640010751104142164195218270323371426
in3688664001071971
a37926640010742
semi‑recumbent3867664001073483161183215246293339391469523572624655
position.45556640010751104142164195218270323343
The4931664001074397145
probe5109664001075181133187236
was53786640010767112149
positioned30476780010750102138159189211262313360413
transversely3486678001072858102153188233279308345392414457
over3969678001074891137166
the4162678001072879126
interscalene431467800107197099145174211254298320367417464
groove4805678001074978128180223268
at5100678001074171
the5198678001072778125
level5350678001071966109155177
of3047692001074875
the3148692001072878125
C63299692001075297
transverse3422692001072857102153188233279308345392
process3840692001075079129173218255291
to4157692001072777
identify4260692001071971117168198219246292
the4578692001072879126
interscalene473069200107196999144173210254298319366417464
muscles52206920010774124160203224271308
and3047706001074191143
the3212706001072879126
C53360706001075199
and3481706001074191143
C63646706001075297
ventral3765706001074086137166196240262
cervical4049706001074085114160182225269291
nerve4362706001074895124171216
roots,4600706001072777128158195214
which48367060010765116137180231
are5089706001074170115
referred522670600107277299145174204249302
to3047720001072877
as3151720001074076
the3254720001072878125
spotlight3406720001073385137167189210262312342
sign.3774720001073455107157176
The3977720001074294141
interscalene414472000107197099144174210254298320366417464
groove4634720001074978128180223269
was49297200010765109145
reached5101720001072672115158209256308
by5436720001074991
introducing304773400107196999128178231281324346396448
a35197340010741
22-gauge3584734001074491119173216267319365
echogenic3974734001074387138189242288339361404
needle4402734001074895142195217263
from4689734001072454104181
the4894734001072879126
lateral504473400107196292137166211232
to5300734001072878
the5402734001072879125
medial30477480010775124178201245268
side3348748001073456109158
using3539748001074985107160213
the3785748001072981130
in‑plain3948748001071971103158181226248301
technique.4282748001072875120173225247300352400419
Subsequently,4734748001074394148185234288340388441471494538553
155320748001074587
ml5429748001077698
of3047762001074976
0.25%3155762001074564113160229
bupivacaine34167620010751103156178223268312357379431479
were39277620010766113143189
deposited4149762001075097151203240262293340393
between4575762001075099130201248297349
the4956762001072880128
C551177620010752100
and5250762001074193146
C65429762001075298
nerve3047776001074895124171217
roots.3289776001072776128158196215