Periarticular multimodal drug injection does not improves early postoperative analgesia compared with continuous interscalene brachial plexus block after arthroscopic rotator cuff repair: A retrospective single-center comparative study |
| |
| Affiliation: | 1. Department of Orthopaedic Surgery, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi, Tokyo, 173-8605, Japan;2. Department of Anesthesia, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi, Tokyo, 173-8605, Japan;1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-chuo, Kobe, 650-0017, Japan;2. Department of Orthopedic Surgery and Joint Surgery Center, Takatsuki General Hospital, 1-3-13, Kosobe-chou, Takatsuki-city, Osaka, 569-1192, Japan;1. Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;2. Department of Rehabilitation Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;1. Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan;2. Department of Biorobotics, Faculty of Engineering, Kyushu Sangyo University, 2-3-1 Matsugadai, Higashi-ku, Fukuoka, 813-8583, Japan;3. Department of Creative Engineering, National Institute of Technology, Kitakyushu College, 5-20-1 Shii, Kokuraminami-ku, Kitakyushu, Fukuoka, 802-0985, Japan;1. Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan;2. Department of Orthopaedic Surgery, Ota Memorial Hospital, Gunma, Japan;3. Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan;4. Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan;5. Department of Orthopaedic Surgery, Fujita Health University, Aichi, Japan;6. Center for Preventive Medicine, Keio University Hospital, Tokyo, Japan;1. Sports Orthopedic Center, Yukioka Hospital, 2-2-3 Ukita, Kita-ku, Osaka, Osaka 530-0021, Japan;2. Department of Orthopedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan;1. Department of Orthopedic Surgery, The No.904 Hospital of Peoples Liberation Army, Wuxi 214000, China;2. Wuxi Clinical College of Anhui Medical University, Wuxi, 214000, China |
| |
| Abstract: | BackgroundAlthough continuous interscalene brachial plexus block (CISBPB) is common method in pain management following arthroscopic rotator cuff repair (ARCR), little is known about the analgesic effects of periarticular multimodal drug injection (PMDI) for ARCR. This retrospective study sought to clarify which technique could provide the best analgesic effect after ARCR.MethodsWe retrospectively reviewed consecutive patients who underwent ARCR performed by the same surgeon at our institution between June 2016 and November 2017. Patients who underwent surgery before January 2017 received CISBPB and those who underwent surgery after February 2017 received PMDI for postoperative pain control. Both treatment groups also received fentanyl by intravenous patient-controlled analgesia (IV-PCA). Postoperative pain was evaluated by visual analog scale (VAS) pain scores at 3, 6, 12, 24, and 48 h and need for IV-PCA at 8, 16, and 24 h.ResultsTwenty-eight patients received CISBPB and 21 received PMDI. According to the VAS scores, the postoperative analgesic effect was significantly better in the CISBPB group during the first 6 h (p < 0.05). Total fentanyl consumption by IV-PCA during the first 8 postoperative h was significantly greater in the PMDI group than in the CISBPB group.ConclusionsPMDI does not improve early postoperative analgesia after ARCR compared with CISBPB. CISBPB had a significantly better analgesic effect in the first 8 h postoperatively.Level of evidenceLevel III. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
