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ORIGINAL RESEARCH article

Front. Med.

Sec. Translational Medicine

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1625121

Retrospective efficacy analysis of stellate ganglion block combined with general anesthesia in arthroscopic shoulder surgery: a cohort study

Provisionally accepted
Zilin  PanZilin PanJiawei  LiJiawei LiYizhen  XuYizhen XuYingchuan  YuanYingchuan Yuan*
  • Second Affiliated Hospital, Xinjiang Medical University, Urumqi, China

The final, formatted version of the article will be published soon.

Purpose: Although arthroscopic shoulder surgery confers clear advantages for recovery, it is often complicated by intraoperative hemodynamic instability and prolonged postoperative pain. This study investigates the clinical utility of stellate ganglion block (SGB) combined with general anesthesia (GA) to address these issues. Methods: In this retrospective analysis, 60 patients undergoing elective shoulder arthroscopy were categorized into SGB+GA (n=30) and GA-only (n=30) cohorts. Outcomes included intraoperative hemodynamic parameters (MAP, HR), postoperative pain (VAS scores), opioid-related complications, and hospitalization duration. Statistical analyses utilized t-tests and non-parametric tests. Results: The SGB+GA group demonstrated superior hemodynamic stability (P<0.001) and markedly lower pain scores postoperatively (P<0.001). Opioid-induced complications such as nausea (P=0.028) were significantly reduced. Median hospital stay was shorter with SGB+GA (P<0.001). Conclusion: Integrating SGB with GA optimizes perioperative management by stabilizing hemodynamics, enhancing analgesia, and minimizing opioid reliance, thereby expediting recovery. These findings support SGB as a valuable adjunct, though prospective validation is needed.

Keywords: Stellate ganglion block, Shoulder arthroscopy, Perioperative stability, Analgesia, Recovery efficiency

Received: 08 May 2025; Accepted: 01 Sep 2025.

Copyright: © 2025 Pan, Li, Xu and Yuan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yingchuan Yuan, Second Affiliated Hospital, Xinjiang Medical University, Urumqi, China

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