As seen in the Jan/Feb issue of Regional Anesthesia and Pain Medicine, alternatives to interscalene block are emerging for shoulder surgery. Which of the following describes your current position on this?

The interscalene block is the gold standard, and I am skeptical of the alternatives without good evidence.

I find few patients in my practice have contraindications to the interscalene block, so I don't see myself using these other blocks.

I am interested in alternatives to the interscalene block for patients with pulmonary or neuromuscular disease and would consider novel blocks in these situations.

I already incorporate alternative blocks (axillary or infraclavicular plus suprascapular) in my practice when needed.

I think these newer blocks may be challenging to perform and/or incorporate into my practice.