Efficacy of interscalene block combined with multimodal pain control for postoperative analgesia after rotator cuff repair

Verfasser / Beitragende:
[Chul-Hyun Cho, Kwang-Soon Song, Byung-Woo Min, Gu-Hee Jung, Young-Kuk Lee, Hong-Kwan Shin]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 542-547
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-012-2272-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-012-2272-3 
245 0 0 |a Efficacy of interscalene block combined with multimodal pain control for postoperative analgesia after rotator cuff repair  |h [Elektronische Daten]  |c [Chul-Hyun Cho, Kwang-Soon Song, Byung-Woo Min, Gu-Hee Jung, Young-Kuk Lee, Hong-Kwan Shin] 
520 3 |a Purpose: The aim of the study reported here was to compare the efficacy and safety of postoperative analgesia provided by interscalene block with multimodal pain control (IB-MPC) versus that provided by multimodal pain control (MPC) alone after arthroscopic rotator cuff repair. Methods: Sixty consecutive patients were assigned to either the IB-MPC group (30 patients) or the MPC group (30 patients). Visual analogue scale (VAS) pain scores before surgery and through day 5 after surgery, consumption of rescue analgesic, adverse effects and complications were evaluated. Results: Mean VAS pain scores immediately after surgery and on days 1 through 5 after surgery were 3.9±2.6, 4.4±1.5, 3.4±1.3, 2.7±1.3, 2.4±1.2, and 2.0±1.0, respectively, in the IB-MPC group and 6.2±1.8, 4.1±1.7, 3.2±1.9, 2.7±1.4, 2.5±1.3, and 2.0±1.2, respectively, in the MPC group. The IB-MPC group had significantly lower VAS pain score immediately after surgery than the MPC group did (P<0.001). There were no statistically significant differences regarding consumption of rescue analgesic or adverse effects between the two groups (n.s.). In the IB-MPC group, complications related to interscalene block included tingling of the hand in three patients and numbness of the neck and ear in two. However, these symptoms resolved spontaneously within a few days. No patients had major complications related to interscalene block. Conclusions: IB-MPC achieved better pain control immediately after surgery than MPC alone, without major complications related to interscalene block. It is an effective and safe method for providing postoperative analgesia after arthroscopic rotator cuff repair. Level of evidence: Prospective Comparative Study, Prognosis Study, Level II. 
540 |a Springer-Verlag Berlin Heidelberg, 2012 
690 7 |a Rotator cuff  |2 nationallicence 
690 7 |a Arthroscopic repair  |2 nationallicence 
690 7 |a Postoperative pain  |2 nationallicence 
690 7 |a Analgesia  |2 nationallicence 
690 7 |a Interscalene block  |2 nationallicence 
690 7 |a Multimodal pain control  |2 nationallicence 
700 1 |a Cho  |D Chul-Hyun  |u Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea  |4 aut 
700 1 |a Song  |D Kwang-Soon  |u Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea  |4 aut 
700 1 |a Min  |D Byung-Woo  |u Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea  |4 aut 
700 1 |a Jung  |D Gu-Hee  |u Department of Orthopedic Surgery, Gospel Hospital, Kosin University, Busan, Korea  |4 aut 
700 1 |a Lee  |D Young-Kuk  |u Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea  |4 aut 
700 1 |a Shin  |D Hong-Kwan  |u Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 542-547  |x 0942-2056  |q 23:2<542  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-012-2272-3  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cho  |D Chul-Hyun  |u Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Song  |D Kwang-Soon  |u Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Min  |D Byung-Woo  |u Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jung  |D Gu-Hee  |u Department of Orthopedic Surgery, Gospel Hospital, Kosin University, Busan, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Young-Kuk  |u Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shin  |D Hong-Kwan  |u Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 542-547  |x 0942-2056  |q 23:2<542  |1 2015  |2 23  |o 167