{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T07:49:38Z","timestamp":1782287378894,"version":"3.54.5"},"reference-count":26,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Critical Care &amp; Pain Medicine"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.accpm.2025.101668","type":"journal-article","created":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T05:13:20Z","timestamp":1762578800000},"page":"101668","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Single-shot versus slow infusion interscalene block and its impact on diaphragmatic function in patients undergoing shoulder surgery, a double blind randomized controlled trial"],"prefix":"10.1016","volume":"45","author":[{"given":"Mina Adolf","family":"Helmy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basma","family":"Gamal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia Magdy","family":"Milad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"El Adawy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahar Mahmoud Mohamed","family":"Kasem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan","family":"Mostafa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.accpm.2025.101668_bib0005","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.2106\/JBJS.L.01116","article-title":"Interscalene brachial plexus block for arthroscopic shoulder surgery: a systematic review","volume":"95","author":"Hughes","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.accpm.2025.101668_bib0010","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1213\/00000539-199706000-00024","article-title":"Suprascapular nerve block for postoperative pain relief in arthroscopic shoulder surgery: a new modality?","volume":"84","author":"Wedel","year":"1997","journal-title":"Anesth Analg"},{"key":"10.1016\/j.accpm.2025.101668_bib0015","article-title":"Phrenic nerve block caused by interscalene brachial plexus block: breathing effects of different sites of injection","volume":"16","author":"Bergmann","year":"2016","journal-title":"BMC Anesthesiol"},{"key":"10.1016\/j.accpm.2025.101668_bib0020","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/ALN.0000000000002841","article-title":"Superior trunk block: a phrenic-sparing alternative to the interscalene block: a randomized controlled trial","volume":"131","author":"Kim","year":"2019","journal-title":"Anesthesiology"},{"key":"10.1016\/j.accpm.2025.101668_bib0025","article-title":"Impact of peripheral nerve block technique on incidence of phrenic nerve palsy in shoulder surgery","volume":"2023","author":"Campbell","year":"2023","journal-title":"Anesthesiol Res Pract"},{"key":"10.1016\/j.accpm.2025.101668_bib0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijoa.2025.104347","article-title":"Impaired diaphragmatic excursion following magnesium sulfate administration in patients with preeclampsia with severe features: a prospective observational study","volume":"62","author":"Helmy","year":"2025","journal-title":"Int J Obstet Anesth"},{"issue":"2","key":"10.1016\/j.accpm.2025.101668_bib0035","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s00540-024-03442-1","article-title":"The ability of diaphragmatic excursion after extubation to predict the need for resumption of ventilatory support in critically ill surgical patients","volume":"39","author":"Hasanin","year":"2025","journal-title":"J Anesth"},{"key":"10.1016\/j.accpm.2025.101668_bib0040","article-title":"Diaphragmatic excursion: a possible key player for predicting successful weaning in patients with severe COVID-19","volume":"40","author":"Helmy","year":"2021","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2025.101668_bib0045","article-title":"Scalenus anterior thickening: a novel predictor for mechanical ventilation weaning. A prospective observational study","author":"Milad","year":"2025","journal-title":"Med Intensiva (Engl Ed)"},{"key":"10.1016\/j.accpm.2025.101668_bib0050","doi-asserted-by":"crossref","DOI":"10.1186\/s13054-022-03975-5","article-title":"EXpert consensus On Diaphragm UltraSonography in the critically ill (EXODUS): a Delphi consensus statement on the measurement of Diaphragm ultrasound-derived parameters in a critical care setting","volume":"26","author":"Haaksma","year":"2022","journal-title":"Crit Care"},{"key":"10.1016\/j.accpm.2025.101668_bib0055","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1097\/AAP.0b013e3181b49256","article-title":"Ultrasound-guided low-dose interscalene brachial plexus block reduces the incidence of hemidiaphragmatic paresis","volume":"34","author":"Renes","year":"2009","journal-title":"Reg Anesth Pain Med"},{"issue":"4","key":"10.1016\/j.accpm.2025.101668_bib0060","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/j.bja.2024.12.010","article-title":"Respiratory impact of local anaesthetic volume after an interscalene brachial plexus block with an extrafascial injection: a randomised controlled double-blinded trial","volume":"134","author":"Renard","year":"2025","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2025.101668_bib0065","doi-asserted-by":"crossref","first-page":"2397","DOI":"10.1093\/pm\/pnw057","article-title":"Effect of local anesthetic concentration (0.2% vs 0.1% ropivacaine) on pulmonary function, and analgesia after ultrasound-guided interscalene brachial plexus block: a randomized controlled study","volume":"17","author":"Wong","year":"2016","journal-title":"Pain Med (United States)"},{"key":"10.1016\/j.accpm.2025.101668_bib0070","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/ALN.0000000000001668","article-title":"Phrenic nerve palsy and regional anesthesia for shoulder surgery: anatomical, physiologic, and clinical considerations","volume":"127","author":"El-Boghdadly","year":"2017","journal-title":"Anesthesiology"},{"key":"10.1016\/j.accpm.2025.101668_bib0075","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1213\/00000539-199104000-00014","article-title":"One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography","volume":"72","author":"Urmey","year":"1991","journal-title":"Anesth Analg"},{"key":"10.1016\/j.accpm.2025.101668_bib0080","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1136\/rapm-2019-100404","article-title":"Upper trunk block for shoulder analgesia with potential phrenic nerve sparing: a preliminary anatomical report","volume":"44","author":"Cros Campoy","year":"2019","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.accpm.2025.101668_bib0085","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1097\/AAP.0b013e3182030648","article-title":"Decreasing the local anesthetic volume from 20 to 10 mL for ultrasound-guided interscalene block at the cricoid level does not reduce the incidence of hemidiaphragmatic paresis","volume":"36","author":"Sinha","year":"2011","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.accpm.2025.101668_bib0090","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1093\/bja\/aen229","article-title":"Effect of local anaesthetic volume (20 vs 5 ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block","volume":"101","author":"Riazi","year":"2008","journal-title":"Br J Anaesth"},{"issue":"11","key":"10.1016\/j.accpm.2025.101668_bib0095","article-title":"Superior trunk block Is an effective phrenic-sparing alternative to interscalene block for shoulder arthroscopy: a systematic review and meta-analysis","volume":"15","author":"Amaral","year":"2023","journal-title":"Cureus"},{"key":"10.1016\/j.accpm.2025.101668_bib0100","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1213\/ANE.0000000000005990","article-title":"Comparison between subparaneural upper trunk and conventional interscalene blocks for arthroscopic shoulder surgery: a randomized noninferiority trial","volume":"134","author":"Zhang","year":"2022","journal-title":"Anesth Analg"},{"key":"10.1016\/j.accpm.2025.101668_bib0105","first-page":"235","article-title":"A comparison of anesthetic quality between interscalene block and superior trunk block for arthroscopic shoulder surgery: a randomized controlled trial","volume":"24","author":"Lee","year":"2021","journal-title":"Pain Physician"},{"key":"10.1016\/j.accpm.2025.101668_bib0110","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/AAP.0000000000000057","article-title":"Anesthesia for clavicular fracture: selective supraclavicular nerve block is the key","volume":"39","author":"Valdes-Vilches","year":"2014","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.accpm.2025.101668_bib0115","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1093\/bja\/aew028","article-title":"Extrafascial injection for interscalene brachial plexus block reduces respiratory complications compared with a conventional intrafascial injection: a randomized, controlled, double-blind trial","volume":"116","author":"Palhais","year":"2016","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2025.101668_bib0120","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s00276-009-0597-5","article-title":"Spinal root origins and innervations of the suprascapular nerve","volume":"32","author":"Shin","year":"2010","journal-title":"Surg Radiol Anat"},{"key":"10.1016\/j.accpm.2025.101668_bib0125","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1007\/s00540-019-02647-z","article-title":"Fascial plane blocks: anatomical structures that affect the spread of local anesthetic","volume":"33","author":"Hotta","year":"2019","journal-title":"J Anesth"},{"key":"10.1016\/j.accpm.2025.101668_bib0130","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1007\/s12630-015-0566-x","article-title":"A novel systematic ABC approach to Diaphragmatic Evaluation (ABCDE)","volume":"63","author":"Tsui","year":"2016","journal-title":"Can J Anaesth"}],"container-title":["Anaesthesia Critical Care &amp; Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352556825002000?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352556825002000?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T07:27:37Z","timestamp":1782286057000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352556825002000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S2352556825002000"],"URL":"https:\/\/doi.org\/10.1016\/j.accpm.2025.101668","relation":{},"ISSN":["2352-5568"],"issn-type":[{"value":"2352-5568","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Single-shot versus slow infusion interscalene block and its impact on diaphragmatic function in patients undergoing shoulder surgery, a double blind randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Anaesthesia Critical Care & Pain Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.accpm.2025.101668","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Soci\u00e9t\u00e9 Fran\u00e7aise d'Anesth\u00e9sie et de R\u00e9animation (SFAR). Published by Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"101668"}}