Analgesia after arthroscopic rotator cuff repair: Subacromial versus interscalene continuous infusion of ropivacaine

Abstract

After arthroscopic rotator cuff repair, continuous interscalene block provides better analgesia compared with continuous subacromial infusion but with an increased incidence of minor side effects.

Analgesic efficacy of preemptive pregabalin administration in arthroscopic shoulder surgery: a randomized controlled trial

“…5,6 Notwithstanding their analgesic efficacy, however, these methods present procedural difficulties and are accompanied by complications inherent in their invasive nature. 7 Among the noninvasive methods to control postoperative pain, intravenous opioid-based patientcontrolled analgesia (IV-PCA) has been widely accepted as effective and safe.…”

Local Anaesthesia Efficacy as Postoperative Analgesia for Open Shoulder Instability Surgery: A Prospective Randomised Controlled Study

“…The single local anaesthetic injection effectiveness for open shoulder surgery was previously poorly documented and not well defined [2,8,14], more data even if with discordant results have been reported that however were more related to the continuous infusion of anaesthetics and arthroscopic setting [5,9,[15][16][17]. Anyhow, a little clinical benefit of local infiltration was evidenced [3].…”

“…Discordant results have been reported regarding local injection of anaesthetics in the intra-articular region for control of postoperative pain after shoulder surgery [3,8], similar to subacromial injection [5,9,10] and block of the suprascapular nerve [11].…”

“…Most of the studies in the literature have investigated a continuous local anaesthetic infiltration in arthroscopic shoulder surgery and not in open shoulder surgery and specifically in the antero-inferior shoulder surgery [2,3,5,9,10]. Furthermore, not all have compared the local infiltration anaesthesia and the IBPB with a control group using the same volume and dose of anaesthetic in order to provide rigour to the study and to give the most appropriate clinical evaluations and comparisons.…”

Upper Extremity Blocks

“…Although these benefits are generally limited to the day of surgery, they nevertheless represent a valuable alternative to general anesthetic and postoperative opioid techniques. [1][2][3][4] Furthermore, limited comparative studies have shown that an interscalene or suprascapular block provides better analgesia than does an intra-articular injection or infusion of local anesthetic 5,6 and without any risk for chondrolysis. Continuous perineural catheter techniques provide superior analgesia for total shoulder arthroplasty and various ambulatory shoulder surgeries.…”