Intra-articular analgesia following arthroscopic surgery of the shoulder

Autor:	Rodolà F, Salvatore VAGNONI, D'Avolio S, Vurchio M, Micci D, Chierichini A, Vergari A, Ciano F
Předmět:	Adult Male Pain Postoperative Shoulder Intra-Articular Pain Middle Aged Amides Bupivacaine Injections Intra-Articular Injections Arthroscopy Local Settore MED/41 - ANESTESIOLOGIA Humans Ropivacaine Female Anesthetics Local Postoperative Aged Pain Measurement Anesthetics
Zdroj:	Scopus-Elsevier Europe PubMed Central
Popis:	Shoulder surgery is very often followed by severe postoperative pain. Loco-regional anaesthesia has greatly contributed as a solution of this problem. Nevertheless most of surgery is still performed under general anaesthesia. In this case many different methods have been proposed in order to mitigate postoperative pain. Intra-articular administration of local anaesthetics after shoulder surgery is not yet in routinely clinical practice. In this study efficacy of intra-articular administration of Ropivacaine versus Bupivacaine has been evaluated. Analysis of results showed both drugs to share the same effectiveness within four hours postoperatively. In subsequent period (6-24 hours) Ropivacaine demonstrated to provide a statistically significant better postoperative pain relief. Furthermore Ropivacaine group patients needed postoperative analgesics to a lesser extent than Bupivacaine group. The long-losting satisfactory level of analgesia, particularly with Ropivacaine, could recommend the use of intra-articular analgesia even for day-hospital or one-day surgery procedures.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::090f007125322fcb8d609f7c71f19473 http://www.scopus.com/inward/record.url?eid=2-s2.0-0036261638&partnerID=MN8TOARS Zobrazit plný text záznamu