caa a22 4500 605460329 CHVBK 20210128100238.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-012-2272-3 doi (NATIONALLICENCE)springer-10.1007/s00167-012-2272-3 Efficacy of interscalene block combined with multimodal pain control for postoperative analgesia after rotator cuff repair [Elektronische Daten] [Chul-Hyun Cho, Kwang-Soon Song, Byung-Woo Min, Gu-Hee Jung, Young-Kuk Lee, Hong-Kwan Shin] 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. Springer-Verlag Berlin Heidelberg, 2012 Rotator cuff nationallicence Arthroscopic repair nationallicence Postoperative pain nationallicence Analgesia nationallicence Interscalene block nationallicence Multimodal pain control nationallicence Cho Chul-Hyun Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea aut Song Kwang-Soon Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea aut Min Byung-Woo Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea aut Jung Gu-Hee Department of Orthopedic Surgery, Gospel Hospital, Kosin University, Busan, Korea aut Lee Young-Kuk Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea aut Shin Hong-Kwan Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 542-547 0942-2056 23:2<542 2015 23 167 https://doi.org/10.1007/s00167-012-2272-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-012-2272-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cho Chul-Hyun Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea aut NATIONALLICENCE 700 1- Song Kwang-Soon Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea aut NATIONALLICENCE 700 1- Min Byung-Woo Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, 700-712, Daegu, Korea aut NATIONALLICENCE 700 1- Jung Gu-Hee Department of Orthopedic Surgery, Gospel Hospital, Kosin University, Busan, Korea aut NATIONALLICENCE 700 1- Lee Young-Kuk Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea aut NATIONALLICENCE 700 1- Shin Hong-Kwan Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 542-547 0942-2056 23:2<542 2015 23 167