Bristow Procedure Periprocedural Care

Updated: Dec 21, 2015
  • Author: Jason D Vourazeris, MD; Chief Editor: Erik D Schraga, MD  more...
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Periprocedural Care

Patient Preparation

Anesthesia

The choice of anesthesia should be based on the following:

  • Comorbidities present
  • Preference of the patient
  • Preference of the surgeon
  • Skills of the anesthesiologist

The options for anesthesia include general anesthesia, interscalene block with light sedation, and interscalene block with general anesthesia. Interscalene block has been shown to be a viable alternative to general anesthesia for the Bristow procedure. It has been shown that interscalene block results in a shorter hospital stay, significantly less blood loss, and presumably imparts the advantages of local anesthesia. [15]

Positioning

The patient is placed in a supine position on a standard operating table with a bump placed underneath the medial border of the scapula. The patient can alternatively be positioned supine in a beach-chair position.