Cand. med. Sandra Flohr-Madsen disputerer for ph.d.-graden i helsevitenskap og vil offentlig forsvare avhandlingen:
“Studies of peripheral nerve blocks for hand and shoulder surgery”
Regional anesthesia may be an alternative to general anesthesia for upper limb surgery.
In our first study, we estimated the minimum effective volume of a local anesthetic (LA) for an infraclavicular block (LSIB, below the clavicle). Its guidance may help minimizing the risk of adverse reactions to LA.
The infraclavicular block tends to rotate the hand/forearm outwards. This is awkward for surgery at the back of the hand. In study II, a suprascapular nerve block (SSNB, cranial to the clavicle) was added to the infraclavicular block improving the hand position.
Interscalene block (neck level) is the standard peripheral nerve block for shoulder surgery. Due to associated risk of palsy of the diaphragm, alternatives have been requested. In study III we found that the novel block combination of a superficial cervical plexus block (neck level), SSNB, and LSIB provided good anesthesia for arthroscopic shoulder surgery patients.
Veiledere
Hovedveileder professor Lars Marius Ytrebø
Biveileder lege Øivind Klaastad
Bedømmelseskomiteen
Førsteamanuensis Kai Lange, Institutt for klinisk medisin, Universitetet i København, Danmark – 1. opponent
Professor Johan Ræder, Institutt for klinisk medisin, Universitetet i Oslo, Norge – 2. opponent
Professor Hebe Desiree Kvernmo, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet – leder av komité
Disputasleder
Førsteamanuensis Paolo Zanaboni, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, Universitetet i Tromsø – Norges arktiske universitet
Prøveforelesning over oppgitt emne holdes kl. 10.15, samme sted: "Efficient and safe use of peripheral nerve blocks in a day-surgery setting"