A Systematic Comparison on Postoperative Analgesia Effect Between Subacromial and Intravenous Analgesia Pumps for Arthroscopic Rotator Cuff Repair |
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| Institution: | 1. Department of Anesthesiology, Peking University Shenzhen Hospital, Shenzhen, China;2. Department of Sports Medicine, Peking University Shenzhen Hospital, Shenzhen, China;1. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN;2. Mayo Clinic Healthcare System, Eau Claire, WI;1. Department of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran;2. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran;3. Department of Operating Room Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;4. Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran;1. Department of Anesthesiology, Urmia Imam Khomeini Hospital, Urmia University of Medical Science, Urmia, Iran;2. Department of Operating Room, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran;3. Department of Medicine, Urmia University of Medical Science, Urmia, Iran;4. Department of Anesthesiology, Mahabad Imam Khomeini Hospital, Urmia University of Medical Science, Mahabad, Iran |
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| Abstract: | PurposeArthroscopic rotator cuff repair is often associated with severe postoperative pain. Various agents, routes, and modes are used for the treatment of postoperative pain with a minimum of side effects. This systematic work was conducted to compare the postoperative effect of subacromial patient-controlled analgesia with intravenous patient-controlled analgesia after an arthroscopic rotator cuff repair surgery.DesignA systematic review of relevant studies were retrieved from electronic databases and included based on criteria and eligibility.MethodsThe articles were retrieved from 1997 to 2018 by computerized searches of Scopus, PubMed, and EMBASE using different combinations of search terms, such as shoulder, rotator cuff, analgesic, analgesia, arthroscopic, pain, cuff repair, rotator cuff repair, acromion, and intravenous.FindingsA total of 10 articles were included in this study from the initial search of 778 records. Compared with subacromial procedure, the intravenous procedure helps in reducing the postoperative pain but with more side effects.ConclusionsThis study described that the direct continuous infusion of anesthetic under subacromial analgesic pump showed a greater pain relief with less side effects compared with intravenous infusion for arthroscopic rotator cuff repair. |
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| Keywords: | arthroscopic rotator cuff repair rotator cuff surgery postoperative pain analgesic effect |
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