The Effect of Preoperative Interscalene Block Using Low-Dose Mepivacaine on the Postoperative Pain after Shoulder Arthroscopic Surgery
The Korean Journal of Pain
;
: 224-228, 2009.
Artículo
en Coreano
| WPRIM
| ID: wpr-151014
ABSTRACT
BACKGROUND:
Shoulder arthroscopic surgery is frequently associated with severe postoperative pain, which can be difficult to manage without the use of high-dose opioids. Although an interscalene brachial plexus block (ISBPB) can be used to provide anesthesia for shoulder arthroscopic surgery, its effect using low-dose mepivacaine on postoperative pain management has not been reported. We hypothesized that ISBPB using a low-dose mepivacaine can provide effective postoperative analgesia for shoulder arthroscopic surgery without the need for high-dose opioids and act as a significant motor or sensory block.METHODS:
This study examined a total of 40 patients, who underwent shoulder arthroscopic surgery, and received ISBPB with 10 ml of normal saline (group NS; n = 20) or 10 ml of 1% mepivacaine with epinephrine 1200,000 (group MC; n = 20). The block was performed preoperatively. The postoperative pain score, opioid consumption, and side effect were recorded.RESULTS:
The visual analog scale scores were significantly lower in group MC than in group NS at 120 minutes after shoulder arthroscopic surgery (1.9 +/- 1.0 versus 4.0 +/- 1.4). Group MC showed significantly lower fentanyl consumption after shoulder arthroscoic surgery than group NS (27 +/- 32.6 versus 79 +/- 18.9microgram). The degree of motor and sensory block after surgery was minimal.CONCLUSIONS:
ISBPB using low-dose mepivacaine reduced the level of postoperative pain and fentanyl consumption without significant side effects. ISBPB using low-dose mepivacaine is a useful analgesic technique for shoulder arthroscopic surgery.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Dolor Postoperatorio
/
Artroscopía
/
Hombro
/
Plexo Braquial
/
Epinefrina
/
Fentanilo
/
Analgesia
/
Analgésicos Opioides
/
Anestesia
/
Mepivacaína
Límite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Pain
Año:
2009
Tipo del documento:
Artículo
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