{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:06:41Z","timestamp":1789139201247,"version":"build-2803163510"},"reference-count":23,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["Journal of Orthopaedics"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jor.2025.11.037","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T04:42:01Z","timestamp":1764391321000},"page":"72-79","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Supraclavicular regional anesthesia is a safer alternative in the immediate postoperative period after shoulder arthroscopy: A systematic review & meta-analysis"],"prefix":"10.25259","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5263-7965","authenticated-orcid":false,"given":"Dev","family":"Dayal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexa","family":"Smitherman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8114-9783","authenticated-orcid":false,"given":"Andrew","family":"Manush","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6302-958X","authenticated-orcid":false,"given":"Maxwell","family":"Harrell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2415-3409","authenticated-orcid":false,"given":"Clay","family":"Rahaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Powell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6934-0106","authenticated-orcid":false,"given":"Vamsisaikrishna","family":"Morla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3157-4739","authenticated-orcid":false,"given":"Amit","family":"Momaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Evely","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2015-7713","authenticated-orcid":false,"given":"Eugene","family":"Brabston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"issue":"1","key":"10.1016\/j.jor.2025.11.037_bib1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.17085\/apm.22254","article-title":"Recent updates on interscalene brachial plexus block for shoulder surgery","volume":"18","author":"Kang","year":"2023","journal-title":"Anesth Pain Med"},{"key":"10.1016\/j.jor.2025.11.037_bib2","series-title":"StatPearls. Treasure Island (FL)","article-title":"Unilateral diaphragmatic paralysis [Internet]","author":"O'Toole","year":"2024"},{"issue":"12","key":"10.1016\/j.jor.2025.11.037_bib3","article-title":"Two cases of respiratory insufficiency secondary to pre-procedural nerve blocks for upper extremity injuries","volume":"13","author":"Patel","year":"2021","journal-title":"Cureus"},{"issue":"6","key":"10.1016\/j.jor.2025.11.037_bib4","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S2213-2600(20)30105-3","article-title":"Prevalence and attributable health burden of chronic respiratory diseases, 1990-2017: a systematic analysis for the global burden of disease study 2017","volume":"8","author":"Soriano","year":"2020","journal-title":"Lancet Respir Med"},{"issue":"8","key":"10.1016\/j.jor.2025.11.037_bib5","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1111\/aas.12732","article-title":"Phrenic palsy and analgesic quality of continuous supraclavicular vs. interscalene plexus blocks after shoulder surgery","volume":"60","author":"Wiesmann","year":"2016","journal-title":"Acta Anaesthesiol Scand"},{"issue":"6","key":"10.1016\/j.jor.2025.11.037_bib6","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1097\/EJA.0000000000001934","article-title":"A comparison of the continuous supraclavicular brachial plexus block using the proximal longitudinal oblique approach and the interscalene brachial plexus block for arthroscopic shoulder surgery: a randomised, controlled, double-blind trial","volume":"41","author":"Kim","year":"2024","journal-title":"Eur J Anaesthesiol"},{"issue":"6","key":"10.1016\/j.jor.2025.11.037_bib7","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/j.jse.2009.03.021","article-title":"Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease","volume":"18","author":"Tashjian","year":"2009","journal-title":"J Shoulder Elb Surg"},{"issue":"6,Supplement","key":"10.1016\/j.jor.2025.11.037_bib8","doi-asserted-by":"crossref","first-page":"S118","DOI":"10.1016\/j.jse.2023.02.010","article-title":"Unanticipated costs associated with interscalene nerve catheters for shoulder surgery","volume":"32","author":"Jones","year":"2023","journal-title":"J Shoulder Elb Surg"},{"issue":"6","key":"10.1016\/j.jor.2025.11.037_bib9","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1097\/AAP.0000000000000767","article-title":"A randomized comparison between interscalene and small-volume supraclavicular blocks for arthroscopic shoulder surgery","volume":"43","author":"Aliste","year":"2018","journal-title":"Reg Anesth Pain Med"},{"issue":"1","key":"10.1016\/j.jor.2025.11.037_bib10","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/ALN.0000000000002208","article-title":"Comparison of anterior suprascapular, supraclavicular, and interscalene nerve block approaches for major outpatient arthroscopic shoulder surgery","volume":"129","author":"Auyong","year":"2018","journal-title":"Anesthesiology"},{"key":"10.1016\/j.jor.2025.11.037_bib11","unstructured":"Randomised controlled trial (RCT) [Internet]. CASP - Crit. Apprais. Ski. Programme. [cited 2025 Apr 15];Available from: https:\/\/casp-uk.net\/glossary\/randomised-controlled-trial-rct\/."},{"issue":"2","key":"10.1016\/j.jor.2025.11.037_bib12","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1111\/papr.12733","article-title":"Comparison of ultrasound\u2010guided supraclavicular and interscalene brachial plexus blocks in postoperative pain management after arthroscopic shoulder surgery","volume":"19","author":"Karaman","year":"2019","journal-title":"Pain Pract"},{"issue":"5","key":"10.1016\/j.jor.2025.11.037_bib13","doi-asserted-by":"crossref","first-page":"408","DOI":"10.4097\/kja.20141","article-title":"Randomized, controlled trial comparing respiratory and analgesic effects of interscalene, anterior suprascapular, and posterior suprascapular nerve blocks for arthroscopic shoulder surgery","volume":"73","author":"Lim","year":"2020","journal-title":"Korean J Anesthesiol"},{"key":"10.1016\/j.jor.2025.11.037_bib14","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.ijsu.2017.07.098","article-title":"Supraclavicular block versus interscalene brachial plexus block for shoulder surgery: a meta-analysis of clinical control trials","volume":"45","author":"Guo","year":"2017","journal-title":"Int J Surg Lond Engl"},{"issue":"11","key":"10.1016\/j.jor.2025.11.037_bib15","doi-asserted-by":"crossref","first-page":"2332","DOI":"10.1016\/j.jse.2020.03.012","article-title":"Risk factors for complications and return to the emergency department after interscalene block using liposomal bupivacaine for shoulder surgery","volume":"29","author":"Malige","year":"2020","journal-title":"J Shoulder Elb Surg"},{"issue":"4","key":"10.1016\/j.jor.2025.11.037_bib16","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.jse.2006.10.007","article-title":"The types and severity of complications associated with interscalene brachial plexus block anesthesia: local and national evidence","volume":"16","author":"Lenters","year":"2007","journal-title":"J Shoulder Elb Surg"},{"issue":"3","key":"10.1016\/j.jor.2025.11.037_bib17","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.rmedc.2008.07.001","article-title":"Persistent phrenic palsy following interscalene block, leading to chronic respiratory insufficiency and requiring long-term non-invasive ventilation","volume":"1","author":"Raymond","year":"2008","journal-title":"Respir Med CME"},{"issue":"1","key":"10.1016\/j.jor.2025.11.037_bib18","first-page":"12","article-title":"Obese patients: respiratory complications in the post-anesthesia care unit","volume":"20","author":"Mendon\u00e7a","year":"2014","journal-title":"Pulmonology"},{"issue":"6","key":"10.1016\/j.jor.2025.11.037_bib19","doi-asserted-by":"crossref","DOI":"10.5435\/JAAOSGlobal-D-19-00014","article-title":"Single-shot versus continuous interscalene block for postoperative pain control after shoulder arthroplasty: a prospective randomized clinical trial","volume":"3","author":"Hasan","year":"2019","journal-title":"JAAOS Glob Res Rev"},{"issue":"5","key":"10.1016\/j.jor.2025.11.037_bib20","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/j.jse.2018.09.031","article-title":"Risk factors for admission after shoulder arthroscopy","volume":"28","author":"Christian","year":"2019","journal-title":"J Shoulder Elb Surg"},{"issue":"12","key":"10.1016\/j.jor.2025.11.037_bib21","article-title":"Complications after arthroscopic shoulder surgery: a review of the american board of orthopaedic surgery database","volume":"2","author":"Shin","year":"2018","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"issue":"5","key":"10.1016\/j.jor.2025.11.037_bib22","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.rmed.2008.01.001","article-title":"Functional recovery of diaphragm paralysis: a long-term follow-up study","volume":"102","author":"Gayan-Ramirez","year":"2008","journal-title":"Respir Med"},{"issue":"4","key":"10.1016\/j.jor.2025.11.037_bib23","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1111\/aas.12864","article-title":"A comparison of ultrasound-guided interscalene and supraclavicular blocks for post-operative analgesia after shoulder surgery","volume":"61","author":"Kim","year":"2017","journal-title":"Acta Anaesthesiol Scand"}],"container-title":["Journal of Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25004659?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25004659?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:08:53Z","timestamp":1789135733000},"score":1,"resource":{"primary":{"URL":"https:\/\/jortho.org\/supraclavicular-regional-anesthesia-is-a-safer-alternative-in-the-immediate-postoperative-period-after-shoulder-arthroscopy-a-systematic-review-meta-analysis\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"alternative-id":["S0972978X25004659"],"URL":"https:\/\/doi.org\/10.1016\/j.jor.2025.11.037","relation":{},"ISSN":["0972-978X"],"issn-type":[{"value":"0972-978X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Supraclavicular regional anesthesia is a safer alternative in the immediate postoperative period after shoulder arthroscopy: A systematic review & meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jor.2025.11.037","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.","name":"copyright","label":"Copyright"}]}}