Comparison of interscalene brachial plexus block and intra-articular local anesthetic administration on postoperative pain management in arthroscopic shoulder surgery

Autor: Recep Aksu, Cihangir Biçer, Ayşe Ülgey, Adnan Bayram, Işın Güneş, Ahmet Güney, Mustafa Denizhan Yıldırım, Günhan Gökahmetoğlu, Karamehmet Yıldız
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Brazilian Journal of Anesthesiology, Vol 65, Iss 3, Pp 222-229 (2015)
Druh dokumentu: article
ISSN: 0104-0014
DOI: 10.1016/j.bjane.2014.06.005
Popis: Background and objectives: In this study, the aim was to compare postoperative analgesia effects of the administration of ultrasound-guided interscalene brachial plexus block and intra-articular bupivacaine carried out with bupivacaine. Methods: In the first group of patients 20 mL 0.25% bupivacaine and ultrasound-guided interscalene brachial plexus block (ISPB) were applied, while 20 mL 0.25% bupivacaine was given via intra-articular (IA) administration to the second group patients after surgery. Patients in the third group were considered the control group and no block was performed. Patient-controlled analgesia (PCA) with morphine was used in all three groups for postoperative analgesia. Results: In the ISPB group, morphine consumption in the periods between 0–4, 6–12 and 12–24 postoperative hours and total consumption within 24 h was lower than in the other two groups. Morphine consumption in the IA group was lower than in the control group in the period from 0 to 6 h and the same was true for total morphine consumption in 24 h. Postoperative VASr scores in the ISPB group were lower than both of the other groups in the first 2 h and lower than the control group in the 4th and 6th hours (p
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