Shoulder Subacromial Injections Periprocedural Care

Updated: Apr 13, 2017
  • Author: Brett J Rothaermel, MD, PT; Chief Editor: Erik D Schraga, MD  more...
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Periprocedural Care

Patient Education and Consent

Before the procedure, the risks, benefits, and alternatives should be discussed with the patient. Informed consent should be obtained.

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Equipment

Equipment employed for subacromial injection includes the following:

  • Sterile gloves
  • Bactericidal skin preparation solution
  • Needle, 1.5 in., 22-25 gauge
  • Syringe, 10 mL
  • Lidocaine 1% without epinephrine (or similar local anesthetic), 5 mL
  • Sterile gauze
  • Sterile adhesive bandage
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Patient Preparation

Anesthesia

Cooling spray or local anesthetic may be used. If a local anesthetic is chosen, use a separate 25-gauge needle to raise a wheal at the site of the injection by inserting the needle about 1 cm below the skin surface. (See Local Anesthetic Agents, Infiltrative Administration.)

Positioning

The patient should be seated upright in a comfortable position with the arm hanging unsupported by the patient's side.

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