710
PŮVODNÍ4021200011151111173233294355388
PRÁCE4435200011151111174230285
/4746200011132
ORIGINAL4804200011158118151213244306367421
PAPER5250200011151107163217278
Ultrasound436320097527198125164196241286331377
assessment8303200973870102144176208275316361388
of12353200974468
diaphragmatic13203200974564103149194221260306373412439458495
movement183132009767112150190258299344371
post22193200974591123151
selective2386320097327393134171200219258298
superior27013200973276122164191210255282
trunk3000320097275398143181
block31983200974666110148185
versus34003200973979106139183215
conventional36323200973680125163203248274294338383423442
interscalene4091320097196390130157190227267286327372413
block45213200974666110147185
in47233200971964
shoulder48043200973176121166185231272299
arthroscopy5120320097396595139166210243279323369407
|5584190011126
13565419001113683
/24868040010732
Anest25638040010752100145178207
intenziv279080400107196794136184221240282
Med.30918040010770115165181
2025;36(1):8-143291804001074487129173186230273297337354369413441480519
/38558040010731
ANESTEZIOLOGIE39528040010753112156200245290342362425467527586607651
A46248040010753
INTENZIVNÍ4698804001071978123168227276297345405426
MEDICÍNA51468040010770113173194247268327381
www.aimjournal.cz4258040010765133201214257275349367415463490539579598614654693
ed425384001074492
by530384001075087
a6303840010741
well‑defined6843840010765107125141167217259281299345387436
connective1133384001074085131178220259288305344386
sheath1532384001073379122160185232
without1777384001076582109155202248274
any2065384001074087123
anatomical2201384001074188126152197269286324364381
variation,2595384001074181105123161186203250296310
unlike425398001074793109125160201
the638398001072873115
hypoechoic765398001074883131178220259304350366404
C51181398001075193
and1287398001074085132
C61431398001075191
roots1534398001072771117142174
which17213980010764110126164209
are1942398001074165105
enveloped2059398001074389126166183229276318365
by2437398001074986
a25353980010740
thin258839800107277389134
facial2734398001072363101117155171
layer42541200107195895136161
and602412001074187135
have753412001074887125166
anatomical936412001074087126151196268285323363380
variation1332412001074181105123161186203250297
in1645412001071865
their1726412001072774116133158
course1900412001074085131156188231
[4,214741200109266884
20,2247412001094690106
21].236941200109468710524714120010716
The565426001074290132
opioid‑sparing710426001074896114160177224250283330370394412458505
effect122842600107446692133173201
of1442426001074870
the1525426001072875117
interscalene165542600107196590131155188227266283326372414
block2082426001075068114154190
was22854260010765104136
maintained24344260010774113129175200240257303345393
in2841426001071864
the425440001072874117
superior562440001073378126169194211258283
trunk86544000107285399146182
group1067440001074973119165213
due1300440001074994137
to1457440001072772
the1549440001072875117
absence1686440001074189120163209248289
of1995440001074870
any2085440001074187124
difference222944000107496688113155180221267306347
in2596440001071865
opioid2681440001074796113159177224
consumption425454001074186133165211284332358376423470
or918454001074974
pain1015454001075191108155
scores1193454001073473119144186219
during1435454001074995120138185233
the1691454001072976119
observation1833454001074897129172198240281306324371418
period.2274454001075094119137184233248
The2545454001074291134
STB2702454001074284130
is2855454001071950
a4254680010741
more4814680010774120146187
proximal683468001074975120156174245284301
block999468001075068114154190
approach1204468001074188137162207247286332
to1551468001072873
the1639468001072874116
brachial1771468001074974114153199216254272
plexus,2058468001074967109147194225239
which23124680010765112129167213
is2541468001071849
likely260546800107193672113131169
the2789468001072874117
reason425482001072768106138184231
for67248200107246995
this78348200107277491122
finding.92148200107234187135152198245260
It1197482001071945
offers125848200107487096137162194
extensive1468482001074482111152198229246285326
coverage1810482001074085124165190230277320
[22].214648200109267011413622784820010716
The565496001074190133
main7134960010773112130177
strengths90549600107336187129176224251298330
of1251496001074770
this133649600107287592124
trial147649600107275371110129
were16204960010764106132174
the1809496001072774117
limited1942496001071936108126153194243
number2201496001074793165213257283
of2499496001074770
papers2585496001074989137181207240
in2840496001071965
this42551000107287594126
field56751000107244386105154
and737510001074189137
our891510001074795121
primary102851000107507695168208234277
outcome,1321510001074895123161208281325339
diaphragmatic1676510001074967107156204230272320393434460479519
movement22115100010773121161204277321368395
involvement,26225100010719661051521722122554255240010774118166193209
which6565240010765114133173221
reflects89952400107277094116160201231266
the1188524001072776120
true1330524001072855103147
impact1500524001071892141183223254
of1776524001074872
both1870524001075099126175
blocks.2067524001075069117159197233250
Fortunately,2339524001074289116147195243283310353372412424
the2785524001072876120
study425538001073362109158197
was6395380010764105137
conducted793538001073985133182229269298340390
on1199538001074795
ASA1310538001075295146
I14725380010719
and1507538001074088136
II1659538001071938
patients,1713538001074990117135178226252286302
none2031538001074895143187
of2234538001074771
whom23215380010764112160233
exhibited2570538001074483131149198216244286335
respiratory425552001072769103152171197239266313339382
compromise,824552001074087161210237284358376409453467
either130855200107446290138182209
clinically153455200107405877124143183224243262302
through1852552001072876103149198247295
symptoms2163552001073475149199226273347380
like255955200107193875118
shortness2694552001073481129156187425566001074892126159
of608566001074872
breath704566001074976119159186235
or962566001074875
in1061566001071866
terms115156600107287097171204
of1379566001074872
respirometric1474566001072770103153172198245319364391418437478
parameters.1975566001075092118160233277305348374408425
However,24245660010756105170213254297323335
our2783566001074896122
trial304738400107285574114133
is3197384001071952
limited3266384001071938111130158200250
by3534384001074989
the3640384001072876120
block3777384001075070118159197
performance3991384001075095121148196223297338386427469
done4477384001074997146190
by4685384001074989
a47913840010741
single4849384001073452100149168212
experienced5078384001074484134179205224268316357399449
anesthesiologist3047398001074087130163191238281313331378397443492510542570
in3632398001071966
a37133980010740
single376939800107335097145163206
center,3990398001074081128154195221232
which42373980010764112129169215
can4468398001073980126
decrease4610398001074891131157198237270313
the4938398001072875118
performance5071398001074993118144191217289329376415456
bias3047412001075069109142
and3209412001074189139
increase3367412001071967107134177217250295
the3681412001072876120
validity3821412001074182101120169188216258
of4099412001074872
the4191412001072776120
trial433041200107285574115134
but4483412001075098126
limits4629412001071938111130158193
the4841412001072876120
generalizability4981412001074993141186212254273291328370419439457476504546
of3047426001074872
the3143426001072776120
findings.328642600107244492141160208257290307
Finally,3616426001074260108149168186226238
we38784260010764108
assessed4010426001074074107151185218263313
perioperative4346426001075095121141189239284310352379398439482
analgesia4852426001074189129148197242275293334
only5209426001074897116156
and5389426001074089138
not3047440001074897124
surgical3191440001073481107156174215256275
anesthesia3486440001074189134167196244289322341381
which38874400010765114133173221
is4128440001071952
more42004400010774123150193
important4413440001071992142191218249290338365
in4799440001071866
patients4886440001075091118137181229256291
with5197440001076584112161
pre­5378440001075077120149
‑existing3047454001072773113132165194212260310
pulmonary3376454001075098117190239288328355398
diseases.3793454001074968101145185218263296313
Conclusion30474780015377143216273313385438479544617
We30474960010775117
found3191496001072473122170221
that,3439496001072877118146163
compared3629496001074088163214256283327378
with4033496001076686115164
conventional4224496001074088137177221270298317366416457476
ISB,4727496001072061106122
selective487649600107347999143185216236278322
STB5224496001074387135
was53864960010765107141
associated3047510001074175108157198217258285328378
with3451510001076685113162
a36395100010741
lower3707510001071967133176203
incidence3936510001071967108127176221269310353
of4315510001074872
HDP44145100010757115161
and4601510001074190139
provided4767510001075077124165184234278328
equipotent5122510001074494142161210260287330378405
effective304752400107446795138179210229270313
postoperative3386524001074998132161208258303329371398417458501
analgesia.3913524001074089129148197242275293334350
Further4289524001074187114145193237264
studies4578524001073463111160179223256
are4860524001074167110
required4996524001072770119167186212255305
to5327524001072874
assess54275240010741743047538001073478111145
STB3216538001074285132
performance3373538001074994121148195222296337385426468
difficulty386653800107496791119139179227245273316
and4206538001074189139
determine4369538001074993121164190264283331375
the4769538001072776120
appropriate4913538001074191141168215265292311351379421
local5359538001071967108150168
anesthetic3047552001074189133167196244288316335375
dose3444552001074998131175
that3642552001072776116143
decreases3808552001074993134160203243277321355
diaphragmatic4185552001074967108157206232274323397438465484524
paralysis4731552001075091118159178218252270303
and5056552001074189139
provides5217552001075077124164183233277310
better3047566001075095122153196222
analgesia.3289566001074189129148198242275294334350
PROHLÁŠENÍ48559600974387144199239292335375429450
AUTORŮ:952596009749100142197242295311
Declaration127959500985596133153194222263291311356402
of169659500984571
authenticity:178259500984186114159201247274294330351379420440
The223859600953781120
paper237459600954481124164187
is257759600951745
original,26395960095426682126142184220236249
has290459600954379108
not302859600954386109
been315459600954483123165
published333559600954487130147163192234273317
elsewhere,36685960095395684123180223262285323335
and401959600953779123
has415859600954378108
not428259600954385109
been440759600954484123166
submitted458959600953071115180196221247285329
to493459600952566
peer‑review501659600954484123146167191229265282320377
in541059600951658
another48560800953679121145187226249
medium.748608009565104148164206271285
Conflict104660700984791137162184205241270
of132960700984571
interest:14126070098216694135163205238267286
The171160800953781120
authors184460800953678103145188211241
declare209960800954382118134170193231
that234360800952567103127
they248360800952567106141
have263760800954379114152
no280260800954386
conflict290160800953677119140159175211237
of315160800954364
interest.32286080095175982120143181210235250
Author349160700985195123169214243
contribution:374660700983681127154182203250295323343388434452
WAS4211608009566109147
designed437160800954482112128171213252296
the468060800952567106
study48006080095295597140176
and498960800953679122
performed512560800954483106130171195261300344
the48562000952567106
practical60962000954468104140166183218254271
part89862000954481104131
of104762000954263
the112862000952567106
study.12526200095305598141176187
AS145762000954784
shared155962000953072108131169213
the179062000952567106
practical191462000954468104140166182218254271
part220362000954480103130
and235162000953779123
collected24926200095357693109148184211248292
and280262000953679122
analysed294262000953779115131166196235279
the323962000952567106
data336362000954379103139
with35206200095587599142
WR.3680620009565106121
NA381962000955197
completed393462000953677143186203242266303347
the430062000952467106
primary44246200095446784149184207245
writing.46876200095588298123139181225239
AAM494462000954695157
revised51196200095246197114142181225
the536262000952568106
manuscript485632009566101144185214250273290333357
for8596320095216387
proofreading.96263200954568110153174198235271314330372416430
All14096320095466379
the150563200952567106
authors162863200953678103145188211241
have188663200954379114152
read20556320095236196140
and221263200953678122
approved235163200953679123147188224262306
the267463200952467106
final27976320095213880116132
manuscript2946632009566101144185214250273290333357
submitted332063200953071115180196221248285329
to366663200952566
the374963200952467106
Anaesthesiology387263200954689125163193218261299329345387404446490526
and441563200953679122
Intensive45546320095175982120162191207243281
Care485263200954582105143
Medicine5012632009562101145161196212254293
journal.5322632009517601021254856440095437995109
Funding:61364300984184130177197243289307
None.93864400955194136175188
Acknowledgement:114564300985186127174219278299340387433475543584630658677
N/A.184164400955179121136
Registration:199764300984687133154187215244284312332377423441
It245764400951741
was251764400955895124
prospectively266064400954468109138182221257284300336374391426
registered310564400952462106122150176213236274318
at344264400953760
www.pactr.org3522644009557117177188233269305331355365408431473
(PACTR401564400952160102145185226
202202483221034).426064400953977114152190226261301339375414448483520559578589
Ethics486864300984169115135171205
committee509164300983681148216237265294335377
consideration:48565500983680126159180226268296337365385430476494
(IRB9936560095213777117
approval112665600953780124148189225261277
number141965600954385150193233256
2/2022169165600953968107145181220
ANES192765600954697134171
37),21146560095397596107
Menoufia2237656009563102144186229250267302
University255565600955092108144182205235251276313
Hospital,288465600955093122166182207243259272
Menoufia,3172656009563101144186229250267302316
Egypt350465600953780115160184
on370465600954285
20380565600953977
February389865600953774118141184220243281
2022.419465600953977114152165
REFERENCES4266870012357112167220281336407470524579
1.42570400853648
Elkassabany4877040083334878111138164197237270308338
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Wang96670400835788127166
A,114570400834155
Ochroch121470400834780118139176209247
J,147470400832437
Mattera152470400835587109133167188221
M,175970400835468
Liu18417040083314684
J,193970400832436
Kuntz198870400833573111132163
A.216570400834055
Improved223470400831572112133170202237276
Quality252470400834785117133148170204
of274270400833756
Recovery28127040083357042571400833168100134156190
from6347140083184178136
Ambulatory79071400834198138176191223245282304338
Shoulder114771400833371109147162201236257
Surgery14247140083327091129164185219
After16627140083416085119140
Implementation182271400831572111127162220255293315348369385423461
of230371400833756
a2379714008331
Multimodal243071400835492107130145203241281313328
Perioperative2778714008335689010542572400833777112134167188204236270
Pain7097240083356782120
Management84372400835487125157196231289324362383
Protocol.12407240083355693115152185222237250
Pain15047240083356782120
Med.163872400835489129142
2019179372400833469100131
May193772400835587118
1;20(5):1012-1019.20687240083354378112131165183195225257288318339369401433463474
doi:25557240083387792104
10.1093/26737240083346578109140175208232
pm/pny152.42573400833997123161199230262292325337
PMID:77873400833588104150163
30113685.95673400833469101128158193228262274
2.42574400853652
Kim49474400833551109
DH,62174400834590103
Lin7417440083324785
Y,84474400833543
Beathe90574400833570102124162197
JC,11197440083256578
Liu12157440083314784
J,131774400832436
Oxendine137174400834778112150189204242277
JA,16667440083246478
Haskins176274400834476103133149187213
SC,19937440083327386
et209674400833457
al.21707440083324760
Superior224874400833270109144166181219241
Trunk25067440083335088126156
Block:26807440083355189122152167
A2864744008341
Phrenic-sparing4257540083357293126164179210229255294326347363400439
Alternative8767540083415678112133171203224239271305
to119475400832158
the12647540083226094
Interscalene13717540083155273107128155186219234268306341
Block:17247540083355189121151165
A1902754008340
Randomized195575400833567105144181239254283316356
Controlled232375400834076114136157194209224259298
Trial.2633754008333506596112124
Anesthesiology.2770754008341781134257640083264886120146161198213251289321330
20197687640083336798127
Sep;131(3):521-533.90876400833266105116146175205220253269281315348379397430462495507
doi:14277640083387590102
10.1097/ALN.0000000000002841.15417640083346477107137172204224260291336349383418454489525560595631666702737772804837873903912
PMID:246576400833587103147160
31283740.26377640083346494127160191221256268
3.304770400853651
Aliste3115704008341567198121154
J,328670400832436
Bravo33397040083355790121159
D,351470400834657
Layera35877040083326596130151184
S,378870400833345
Fernández38507040083326688126158197236270300
D,416770400834556
Jara42397040083255778111
Á,436770400834155
Maccioni443870400835587119150165203242257
C,471270400833952
et478170400833456
al.48547040083324760
Randomized493170400833568106145183241256286320359
comparison53077040083316812616519830477140083213662101139
between32047140083387496149184219257
interscalene34797140083155274108129156188221237272310345
and384171400833270109
costoclavicular39687140083316895118155187203235266282314352367399421
blocks44067140083395593126156185
for46087140083195678
arthroscopic47037140083325378116137175201233270310326358
shoulder507871400832664102140156195230251
surgery.5346714008327648512315830477240083215565
Reg312872400833570109
Anesth325372400834179114141164203
Pain34727240083356782120
Med.360772400835590129143
2019376672400833468100130
Jan39127240083245694
11:rapm-2018-100055.4022724008334627091124163222244275309341372395425457493529563596608
doi:46467240083387691103
10.1136/rapm-2018-100055.47657240083346678109137167201226246279318376399430464496527549580612648684718750762
Epub304773400833372110149
ahead321173400833270105137176
of340273400833857
print.34747340083396076114135149
PMID:363873400833589104150163
30635497.381773400833468104138171206239272278
4.304774400853651
Burckett-St31107440083357293124154187209233252283304
Laurent342774400833164101122155193214
D,365474400834555
Chan372274400833977109146
V,388174400833544
Chin39377440083407792129
KJ.40797440083346274
Refining41667440083356987103141156193232
the44107440083225994
ultrasound-guided4516744008337527495128154192229267306327367405419458492531
interscalene50607440083145273106127154186218233268305340
brachial5412744008339609330477540083316984116132
plexus31937540083385489121159185
block:33927540083395593125155170
the35767540083226095
superior368575400832663103138159175213234
trunk39347540083214381119149
approach.409775400833271111132169202235273286
Can439775400834073111
J4522754008324
Anaesth.456075400834179111146173196234248
2014482275400833468100131
Dec;61(12):1098-102.496775400834581113126162192207239269287299329360395430453484515548560
doi:30477640083387692104
10.1007/s12630-014-0237-3.31667640083346678109141177209229254284314347381415439476508539562600632667699718750763
Epub394476400833372110149
2014410876400833468100131
Sep425576400833267106
11.43777640083346271
PMID:446376400833589105150163
25208976.464276400833469102136171206239271284
Tab.425580012561110164190
4.63158001255481
Complications75760001074891163208227245283327353371416462492
between126560001074684111175213251297
the157860001072773111
study170560001073157103148185
groups190660001074671115161206237
Studied4567400953761104148165204249
variables723740095367397114151195213252283
ISB2433740095175393
group25437400954468110153198
(N24608400952172
=255084009547
34)2615840095397998
STB34627400953776118
group35977400954468110153197
(N35028400952172
=359284009547
34)3657840095397998
FE44707400953773
P507274009540
value5130740095367390133172
No.22919600955195108
%281996009559
No.33239600955195108
%388696009559
Epidural4561080095378199143185209246264
anesthesia73710800953780119150176219259289305342
Yes45612000954075106
02326120009539
02829120009539
03357120009539
03896120009539
0.0044401200095395393134
0.001*50881200095395393134170197
No45613200955194
34230613200953979
100279113200953975116
34333713200953979
100385713200953975116
Horner45614400955094118162202225
syndrome69914400953067111155179221287327
Yes45615600954075106
02326156009539
02829156009539
03357156009539
03896156009539
0.0044401560095395393134
0.002*50851560095395393134171202
No45616800955194
34230616800953979
100279116800953975116
34333716800953979
100385716800953975116
Hematoma45618000955090156193217259325362
Yes45619200954075106
02326192009539
02829192009539
03357192009539
03896192009539
0.0044401920095395393134
1.0051221920095394989130
No45620400955194
34230620400953979
100279120400953975116
34333720400953979
100385720400953975116
Pneumothorax45621600954083122165231274299342385410447483
Yes45622800954075106
02326228009539
02829228009539
03357228009539
03896228009539
0.0044402280095395393134
1.0051222280095394989130
No45624000955194
34230624000953979
100279124000953975116
34333724000953979
100385724000953975116
Hoarseness45625200955094131155186225269308338369
Yes45626400954075106
02326264009539
02829264009539
03357264009539
03896264009539
0.0044402640095395393134
1.0051222640095394989130
No45627600955194
34230627600953979
100279127600953975116
34333727600953979
100385727600953975116
Neural45628800955191134157195212
injury6852880095176077119143182
Yes45630000954075106
02326300009539
02829300009539
03357300009539
03896300009539
0.0044403000095395393134
1.0051223000095394989130
No45631200955194
34230631200953979
100279131200953975116
34333731200953979
100385731200953975116
Hand45632400955087130174
grip6483240095436785129
weakness79432400955897133167212252282312
at112332400953761
24120232400953975
hr129432400954367
Yes45633600954075106
22326336009539
5.9027833360095395290131
03357336009539
03896336009539
0.34844203360095395393133174
0.55451023360095395393130170
No45634800955194
32230834800953976
94.127853480095398094128
34333734800953979
100385734800953975116
ISB4563600095175087
–558360009540
interscalene6123600095175880113136165198237254288330364
group;99036000954164103144185198
STB120336000953571110
–1327360009540
selective13823600095276178112146171187221254
superior165136000952767108142165182222246
trunk19113600095244788129162
group;208736000954064103144185198
FE230036000953569
–2383360009540
Fisher24373600095355178118152175
exact262736000953468108142166
test28083600095235684108