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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
- Source :
- Clinics in Orthopedic Surgery
- Publication Year :
- 2009
- Publisher :
- The Korean Orthopaedic Association, 2009.
-
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 (ISBIB 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.
- Subjects :
- Adult
Male
Shoulder
medicine.medical_specialty
Visual analogue scale
medicine.medical_treatment
Analgesic
Rotator cuff tear
Arthroscopy
Rotator Cuff
medicine
Humans
Ropivacaine
Orthopedics and Sports Medicine
Rotator cuff
Prospective Studies
Anesthetics, Local
Aged
Pain Measurement
Infusions, Intralesional
Pain, Postoperative
Postoperative pain control
medicine.diagnostic_test
Shoulder Joint
business.industry
Nerve Block
Bursa, Synovial
Middle Aged
Amides
Surgery
Single interscalene block with intra-bursal infusion
Arthroscopic rotator cuff repair
Catheter
medicine.anatomical_structure
Case-Control Studies
Anesthesia
Nerve block
Original Article
Continuous interscalene block
Female
Shoulder joint
Analgesia
business
medicine.drug
Subjects
Details
- ISSN :
- 2005291X
- Volume :
- 1
- Database :
- OpenAIRE
- Journal :
- Clinics in Orthopedic Surgery
- Accession number :
- edsair.doi.dedup.....325c84b927ef7ec6a2c2d35fb4ffcb32