caa a22 4500 605460388 CHVBK 20210128100238.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-013-2451-x doi (NATIONALLICENCE)springer-10.1007/s00167-013-2451-x Efficacy of direct arthroscopy-guided suprascapular nerve block after arthroscopic rotator cuff repair: a prospective randomized study [Elektronische Daten] [Jae Lee, Yon-Sik Yoo, Jung-Taek Hwang, Do-Young Kim, Seong-Jae Jeon, Sung Hwang, Ji Jang] 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. Springer-Verlag Berlin Heidelberg, 2013 Arthroscopy nationallicence Nerve block nationallicence Pain management nationallicence Lee Jae Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea aut Yoo Yon-Sik Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut Hwang Jung-Taek Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut Kim Do-Young Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut Jeon Seong-Jae Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut Hwang Sung Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea aut Jang Ji Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 562-566 0942-2056 23:2<562 2015 23 167 https://doi.org/10.1007/s00167-013-2451-x 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/s00167-013-2451-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee Jae Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea aut NATIONALLICENCE 700 1- Yoo Yon-Sik Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut NATIONALLICENCE 700 1- Hwang Jung-Taek Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut NATIONALLICENCE 700 1- Kim Do-Young Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut NATIONALLICENCE 700 1- Jeon Seong-Jae Sports Center, Department of Orthopedic Surgery, School of Medicine, Dongtan Sacred Heart Hospital, Hallym University, #40, Sukwoo-dong, 445-170, Hwasung, Gyungi-do, Korea aut NATIONALLICENCE 700 1- Hwang Sung Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea aut NATIONALLICENCE 700 1- Jang Ji Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 562-566 0942-2056 23:2<562 2015 23 167