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Comparison of Analgesic Efficacy between Single Interscalene Block Combined with a Continuous Intra-bursal Infusion of Ropivacaine and Continuous Interscalene Block after Arthroscopic Rotator Cuff Repair
Clinics in Orthopedic Surgery ; : 48-53, 2009.
Artigo em Inglês | WPRIM | ID: wpr-72014
ABSTRACT

BACKGROUND:

This study evaluated the effectiveness of a continuous interscalene block (CISB) by comparing it with that of a single interscalene block combined with a continuous intra-bursal infusion of ropivacaine (ISB-IB) after arthroscopic rotator cuff repair.

METHODS:

Patients who had undergone CISB (CISB group; n = 25) were compared with those who had undergone ISB-IB (ISB-IB group; n = 25) for more than 48 hours after surgery. The visual analog scale (VAS) for pain, motor and/or sensory deficit, supplementary analgesics and adverse effects were recorded.

RESULTS:

There were no significant differences between the postoperative VAS of the CISB and ISB-IB groups, except at 1 hour after surgery. Their supplementary analgesics of the two groups were similar. Transient motor weakness (52%) and sensory disturbance (40%) of the affected arm were observed in patients in the CISB group. The catheters came out accidentally in 22% of the CISB group but in only 4% of the ISB-IB group.

CONCLUSIONS:

ISB-IB provides similar analgesia to CISB. However, the ISB-IB group had a lower incidence of neurological deficits and better catheter retention.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Dor Pós-Operatória / Artroscopia / Articulação do Ombro / Medição da Dor / Bolsa Sinovial / Estudos de Casos e Controles / Estudos Prospectivos / Manguito Rotador / Infusões Intralesionais / Amidas Tipo de estudo: Estudo observacional / Fatores de risco Limite: Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Inglês Revista: Clinics in Orthopedic Surgery Ano de publicação: 2009 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Dor Pós-Operatória / Artroscopia / Articulação do Ombro / Medição da Dor / Bolsa Sinovial / Estudos de Casos e Controles / Estudos Prospectivos / Manguito Rotador / Infusões Intralesionais / Amidas Tipo de estudo: Estudo observacional / Fatores de risco Limite: Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Inglês Revista: Clinics in Orthopedic Surgery Ano de publicação: 2009 Tipo de documento: Artigo