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Total Shoulder Arthroplasty 

Total Shoulder Arthroplasty
Total Shoulder Arthroplasty
Acute Pain Medicine

Christopher Sobey

, and David Byrne


This chapter describes patients undergoing total shoulder arthroplasty (TSA), who often present an array of challenging considerations regarding anesthetic management and perioperative pain control. Unlike in other types of shoulder surgery, patients undergoing TSA often have more significant comorbidities such as advanced age and morbid obesity that can affect outcomes in the perioperative period. Preoperative screening should be performed to allow adequate planning for the day of surgery and to ensure adequate postoperative monitoring. Because the procedure is an open surgical approach, it can be very stimulating, and extra consideration for perioperative analgesia should be taken. Careful consideration of multimodal (balanced) analgesic modalities to account for potential respiratory compromise, and incorporation of regional anesthetic modalities can contribute to successful delivery of anesthesia and safe recovery thereafter.

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