Suprascapular Nerve Block Prolongs Analgesia After Nonarthroscopic Shoulder Surgery but Does Not Improve Outcome
| Autor: | Joseph M. Neal, Susan B. McDonald, Kathleen L. Larkin, Nayak L. Polissar |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
Shoulder medicine.medical_specialty Time Factors Shoulder surgery medicine.medical_treatment Analgesic law.invention Double-Blind Method Randomized controlled trial law medicine Humans Brachial Plexus Orthopedic Procedures Postoperative Period Aged Pain Measurement Pain Postoperative business.industry Nerve Block Middle Aged Suprascapular nerve Surgery Clinical trial Treatment Outcome Anesthesiology and Pain Medicine Ambulatory Surgical Procedures Anesthesia Anesthesia Recovery Period Orthopedic surgery Nerve block Female Sleep business Brachial plexus |
| Zdroj: | Anesthesia & Analgesia. :982-986 |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/01.ane.0000052380.69541.d4 |
| Popis: | Suprascapular nerve block (SSNB) reportedly improves analgesia and 24-h outcomes after arthroscopic shoulder surgery performed under general anesthesia. In this study, we assessed the analgesic and clinical outcome efficacy of SSNB as an adjunct to interscalene brachial plexus block (ISB) for ambulatory nonarthroscopic shoulder surgery. Fifty patients were randomized to receive either a SSNB or sham injection as part of a standardized ISB-general anesthesia regimen. Time to first significant pain (the primary outcome measure) was significantly delayed in the SSNB group (594 +/- 369 min versus 375 +/- 273 min, respectively; P = 0.02). There were no other differences between groups with regard to postanesthesia recovery unit measures, 24-h assessment of pain, supplemental analgesic use, or quality of life outcomes. We conclude that adjunctive SSNB adds minimal value to a primary ISB anesthetic for nonarthroscopic shoulder surgery.When used as an adjunct to an interscalene block combined with general anesthesia, suprascapular nerve block with bupivacaine moderately prolongs analgesia without improving other outcome measures after ambulatory nonarthroscopic shoulder surgery. |
| Databáze: | OpenAIRE |
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