Shoulder Sx: • Arthroplasy, and arthroscopy, and rotator cuff repair • Use of a beach chair position → VAE risk • Limited

access to the airway→ tighten the connection, reinforce with tap • Possible eye and ears injury • Avoid excessive head rotation→ brachial plexus injury • Options GA, interscalene or combined • Assess the arm before doing the block for any neurological deficit • Risk of post-op neurological deficit → the level of the injury is at the level of the trunk (same as interscalene) difficult to determine the cause (surgical Vs block)→ Neurapraxia → 90% resolve within 3-4 months

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