Perioperative medicine & outcomes
Regional anesthesia alone is associated with reduced intraoperative hypotension compared with combined general and regional anesthesia in shoulder arthroscopy performed in the beach-chair position
Authors' conclusion
In elective shoulder arthroscopy, RA alone was associated with significantly greater hemodynamic stability, shorter recovery, and improved ambulatory outcomes compared with combined GA and RA.
Study context
- Population
- Adults undergoing elective shoulder arthroscopy in the beach-chair position, private surgical center, Paris, France, Oct 2023–Oct 2024
- Participants
- 482 adults
- Exposure
- Regional anesthesia (RA) alone vs combined general anesthesia (GA)+RA
- RAn = 417reference
- GA+RAn = 65
- Outcome
- Any intraoperative MAP <65 mm Hg
Methodological detailsmonocentric
- Monocentric
Main finding
As reported in the abstract
GA+RA vs RAEstimate (95% CI)P value
GA+RA
unadjusted OR 8.88(5.03–15.68)
Confirmed in sensitivity analyses
adjusted OR 10.25(5.51–19.08)
P < 0.001Observational data: associations, not effects.
Secondary outcomes
PACU stay
Same-day discharge
P < 0.001
Mean arterial pressure (MAP) reduction, hypotension duration, vasopressor use
- Greater MAP reduction, longer hypotension duration and higher vasopressor use with GA
Operative time
- Shorter with RA alone
Original publication
Regional anesthesia alone is associated with reduced intraoperative hypotension compared with combined general and regional anesthesia in shoulder arthroscopy performed in the beach-chair position. Reg Anesth Pain Med. Published 8 June 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →