Efficacy of direct arthroscopy-guided suprascapular nerve block after arthroscopic rotator cuff repair: a prospective randomized study

Verfasser / Beitragende:
[Jae Lee, Yon-Sik Yoo, Jung-Taek Hwang, Do-Young Kim, Seong-Jae Jeon, Sung Hwang, Ji Jang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 562-566
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2451-x  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2451-x 
245 0 0 |a Efficacy of direct arthroscopy-guided suprascapular nerve block after arthroscopic rotator cuff repair: a prospective randomized study  |h [Elektronische Daten]  |c [Jae Lee, Yon-Sik Yoo, Jung-Taek Hwang, Do-Young Kim, Seong-Jae Jeon, Sung Hwang, Ji Jang] 
520 3 |a Purpose: The purpose of this study was to evaluate the outcomes of arthroscopy-guided direct suprascapular nerve block performed after arthroscopic rotator cuff repair. Methods: In the present prospective, randomized, double-blinded clinical study, 30 patients were divided into two groups: 15 patients (group I) were treated with arthroscopy-guided suprascapular nerve block using 10mL 0.5% ropivacaine with 1:200,000 epinephrine, and 15 patients (group II) were treated with placebo using 10mL 0.9% saline after arthroscopic rotator cuff repair. Patient pain levels were measured using the visual analog scale (VAS) at 1, 3, 6, 12, 18, and 24h post-operatively. Additionally, the number of boluses and total amount of fentanyl dispensed by patient-controlled analgesia administration during the 24-h post-operative period were evaluated. Results: VAS scores did not differ significantly between groups I and II during the 24-h post-operative period, but mean fentanyl bolus consumption was significantly less in group I compared with group II (p=0.015). Conclusion: Arthroscopy-guided suprascapular nerve block at the end of a rotator cuff repair was safe and less time-consuming than expected. Although this procedure did not significantly reduce the post-operative pain, the post-operative need for fentanyl boluses as analgesia was reduced significantly, and it would be beneficial if this procedure involved a sensory branch of axillary nerve block or was performed at the beginning of the arthroscopic procedure. Level of evidence: Prospective, randomized, double-blinded clinical trial, Level I. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Arthroscopy  |2 nationallicence 
690 7 |a Nerve block  |2 nationallicence 
690 7 |a Pain management  |2 nationallicence 
700 1 |a Lee  |D Jae  |u Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea  |4 aut 
700 1 |a Yoo  |D Yon-Sik  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
700 1 |a Hwang  |D Jung-Taek  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
700 1 |a Kim  |D Do-Young  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
700 1 |a Jeon  |D Seong-Jae  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
700 1 |a Hwang  |D Sung  |u Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea  |4 aut 
700 1 |a Jang  |D Ji  |u Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 562-566  |x 0942-2056  |q 23:2<562  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2451-x  |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 856  |E 40  |u https://doi.org/10.1007/s00167-013-2451-x  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Jae  |u Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yoo  |D Yon-Sik  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hwang  |D Jung-Taek  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Do-Young  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jeon  |D Seong-Jae  |u Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hwang  |D Sung  |u Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jang  |D Ji  |u Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, 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), 562-566  |x 0942-2056  |q 23:2<562  |1 2015  |2 23  |o 167