PROSPECT guideline for rotator cuff repair surgery: systematic review and procedure‐specific postoperative pain management recommendations
| Autor: | Toma, O, Persoons, B, Pogatzki-Zahn, E, Van de Velde, M, Joshi, GP, Schug, S, Kehlet, H, Bonnet, F, Rawal, N, Delbos, A, Lavand'homme, P, Beloeil, H, Raeder, J, Sauter, A, Albrecht, E, Lirk, P |
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| Přispěvatelé: | Schug, S, Kehlet, H, Bonnet, F, Rawal, N, Delbos, A, Lavand'homme, P, Beloeil, H, Raeder, J, Sauter, A, Albrecht, E, Lirk, P |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
SUBACROMIAL BUPIVACAINE INFUSION
medicine.medical_treatment Cryotherapy law.invention DOUBLE-BLIND Rotator Cuff 0302 clinical medicine systematic review Anesthesiology 030202 anesthesiology law Medicine pain Orthopedic Procedures 030212 general & internal medicine Randomized Controlled Trials as Topic Pain Postoperative evidence‐based medicine analgesia rotator cuff repair analgesia [pain] medicine.anatomical_structure evidence-based medicine Life Sciences & Biomedicine medicine.drug CLINICAL-OUTCOMES medicine.medical_specialty Gabapentin SUPRASCAPULAR NERVE BLOCK Analgesic Guidelines as Topic Guidelines Transcutaneous electrical nerve stimulation ANALGESIC EFFICACY 03 medical and health sciences Anesthesiolog Pain Medicine Postoperative Pain Rotator cuff repair BRACHIAL-PLEXUS BLOCK Humans Pain Management Rotator cuff Science & Technology business.industry Guideline pain: analgesia CONTINUOUS INTERSCALENE BLOCK Surgery Regimen Anesthesiology and Pain Medicine ROPIVACAINE ARTHROSCOPIC SHOULDER SURGERY CATHETER Axillary nerve business |
| Zdroj: | Anaesthesia, vol. 74, no. 10, pp. 1320-1331 Anaesthesia the PROSPECT Working Group Collaborators 2019, ' PROSPECT guideline for rotator cuff repair surgery : systematic review and procedure-specific postoperative pain management recommendations ', Anaesthesia, vol. 74, no. 10, pp. 1320-1331 . https://doi.org/10.1111/anae.14796 |
| DOI: | 10.1111/anae.14796 |
| Popis: | Rotator cuff repair can be associated with significant and difficult to treat postoperative pain. We aimed to evaluate the available literature and develop recommendations for optimal pain management after rotator cuff repair. A systematic review using procedure-specific postoperative pain management (PROSPECT) methodology was undertaken. Randomised controlled trials published in English from 1 January 2006 to 15 April 2019 assessing postoperative pain after rotator cuff repair using analgesic, anaesthetic or surgical interventions were identified from MEDLINE, Embase and Cochrane Databases. Out of 322 eligible studies identified, 59 randomised controlled trials and one systematic review met the inclusion criteria. Pre-operative and intra-operative interventions that improved postoperative pain were paracetamol, cyclo-oxygenase-2 inhibitors, intravenous dexamethasone, regional analgesia techniques including interscalene block or suprascapular nerve block (with or without axillary nerve block) and arthroscopic surgical technique. Limited evidence was found for pre-operative gabapentin, perineural adjuncts (opioids, glucocorticoids, or α-2-adrenoceptor agonists added to the local anaesthetic solution) or postoperative transcutaneous electrical nerve stimulation. Inconsistent evidence was found for subacromial/intra-articular injection, and for surgical technique-linked interventions, such as platelet-rich plasma. No evidence was found for stellate ganglion block, cervical epidural block, specific postoperative rehabilitation protocols or postoperative compressive cryotherapy. The analgesic regimen for rotator cuff repair should include an arthroscopic approach, paracetamol, non-steroidal anti-inflammatory drugs, dexamethasone and a regional analgesic technique (either interscalene block or suprascapular nerve block with or without axillary nerve block), with opioids as rescue analgesics. Further randomised controlled trials are required to confirm the influence of the recommended analgesic regimen on postoperative pain relief. ispartof: ANAESTHESIA vol:74 issue:10 pages:1320-1331 ispartof: location:England status: published |
| Databáze: | OpenAIRE |
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