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Feasibility of Early and Repeated Low-dose Interscalene Brachial Plexus Block for Residual Pain in Acute Cervical Radiculopathy Treated with NSAIDS
The Korean Journal of Pain ; : 125-132, 2014.
Artigo em Inglês | WPRIM | ID: wpr-188393
ABSTRACT

BACKGROUND:

To improve residual pain management in acute cervical radiculopathy treated with NSAIDs, the feasibility of early and repeated low-dose interscalene brachial plexus block (IS-BPB) needs to be assessed.

METHODS:

This was a prospective study on patients receiving NSAIDs (loxoprofen) for cervical radiculopathy of or = 70 (severe pain; SE group) were compared to the controls receiving NSAIDs.

RESULTS:

A total of 316 IS-BPBs were performed in the intervention group. There was a significant difference in the decline in the VAS from week 0 to week 3 in the MM and SE groups (P < 0.05); however, from week 3 to week 4, the therapeutic effect exhibited no significant difference. Thirteen patients at week 2 (15.5%; MM 27.7%; SE 0%), 43 at week 3 (51.2%; MM 83.0%; SE 10.8%), and 47 at week 4 (56.0%; MM 85.1%; SE 18.9%) achieved a VAS score of < or = 20. Patient satisfaction was high, and the decrease in VAS scores in both groups was significant (P < 0.05) compared to the controls.

CONCLUSIONS:

Weekly, low-dose, USG-guided IS-BPB can be implemented for early pain relief in acute cervical radiculopathy, with high patient satisfaction.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pacientes Ambulatoriais / Radiculopatia / Plexo Braquial / Anti-Inflamatórios não Esteroides / Estudos Prospectivos / Ultrassonografia / Satisfação do Paciente / Manejo da Dor / Mepivacaína / Bloqueio Nervoso Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Humanos Idioma: Inglês Revista: The Korean Journal of Pain Ano de publicação: 2014 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pacientes Ambulatoriais / Radiculopatia / Plexo Braquial / Anti-Inflamatórios não Esteroides / Estudos Prospectivos / Ultrassonografia / Satisfação do Paciente / Manejo da Dor / Mepivacaína / Bloqueio Nervoso Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Humanos Idioma: Inglês Revista: The Korean Journal of Pain Ano de publicação: 2014 Tipo de documento: Artigo