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A Comparison of Three Methods for Postoperative Pain Control in Patients Undergoing Arthroscopic Shoulder Surgery
The Korean Journal of Pain ; : 45-51, 2015.
Article Dans Anglais | WPRIM | ID: wpr-209569
ABSTRACT

BACKGROUND:

Arthroscopic shoulder operations (ASS) are often associated with severe postoperative pain. Nerve blocks have been studied for pain in shoulder surgeries. Interscalene brachial plexus blocks (ISB) and an intra-articular injection (IA) have been reported in many studies. The aim of the present study is to evaluate the effect of ISB, a continuous cervical epidural block (CCE) and IA as a means of postoperative pain control and to study the influence of these procedures on postoperative analgesic consumption and after ASS.

METHODS:

Fifty seven patients who underwent ASS under general anesthesia were randomly assigned to one of three groups the ISB group (n = 19), the CCE group (n = 19), and the IA group (n = 19). Patients in each group were evaluated on a postoperative numerical rating scale (NRS), their rescue opioid dosage (ROD), and side effects.

RESULTS:

Postoperative NRSs were found to be higher in the IA group than in the ISB and CCE groups both at rest and on movement. The ROD were 1.6 +/- 2.3, 3.0 +/- 4.9 and 7.1 +/- 7.9 mg morphine equivalent dose in groups CCE, ISB, and IA groups (P = 0.001), respectively, and statistically significant differences were noted between the CCE and IA groups (P = 0.01) but not in between the ISB and CCE groups.

CONCLUSIONS:

This prospective, randomized study demonstrated that ISB is as effective analgesic technique as a CCE for postoperative pain control in patients undergoing ASS.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Douleur postopératoire / Arthroscopie / Épaule / Plexus brachial / Études prospectives / Equidae / Analgésie / Injections articulaires / Anesthésie péridurale / Anesthésie générale Type d'étude: Essai clinique contrôlé / Étude observationnelle Limites du sujet: Humains langue: Anglais Texte intégral: The Korean Journal of Pain Année: 2015 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Douleur postopératoire / Arthroscopie / Épaule / Plexus brachial / Études prospectives / Equidae / Analgésie / Injections articulaires / Anesthésie péridurale / Anesthésie générale Type d'étude: Essai clinique contrôlé / Étude observationnelle Limites du sujet: Humains langue: Anglais Texte intégral: The Korean Journal of Pain Année: 2015 Type: Article