Analgesic effectiveness of nerve block in shoulder arthroscopy: comparison between interscalene, suprascapular and axillary nerve blocks

Lee, Sang Mook; Park, Sang-Eun; Nam, Yong Seok; Han, Seung‐Ho; Lee, Kwang-Jin; Kwon, Min-Jeong; Ji, Jong‐Hun; Choi, Syungkyun; Park, Jang-Su

doi:10.1007/s00167-012-1950-5

Cited by 72 publications

(109 citation statements)

References 23 publications

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“…We justify the relatively short time of catheter use (24 h) with reference to the time course of pain after shoulder surgery [32] and our own clinical experience. A longer duration of catheter use is associated with more administrative demands, more complications (e.g.…”

Section: Discussionmentioning

confidence: 99%

A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery

Marhofer

Anderl²,

Heuberer³

et al. 2014

Anaesthesia

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SummaryEffective pain therapy after shoulder surgery is the main prerequisite for safe management in an ambulatory setting. We evaluated adverse events and hospital re-admission using a database of 509 interscalene catheters inserted during ambulatory shoulder surgery. Adverse events were recorded for 34 (6.7%) patients (9 (1.8%) catheter dislocations diagnosed in the recovery room, 9 (1.8%) catheter dislocations at home with pain, 2 (0.4%) pain without catheter dislocation, 1 (0.2%) 'secondary' pneumothorax without intervention and 13 (2.6%) other). Twelve (2.4%) patients were re-admitted to hospital (8 (1.6%) for pain, 2 (0.4%) for dyspnoea and 2 (0.4%) for nausea and vomiting), 9 of whom had rotator cuff repair. A well-organised infrastructure, optimally trained medical professionals and appropriate patient selection are the main prerequisites for the safe, effective implementation of ambulatory interscalene catheters in routine clinical practice.

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Section: Discussionmentioning

confidence: 99%

A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery

Marhofer

Anderl²,

Heuberer³

et al. 2014

Anaesthesia

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“…The above analysis was performed using Mann-Whitney U test or t test for indifferent samples according to the normality of data to evaluate the differences between the mean values of the group I and group II. the two available ISB methods [5,10,13,24,25]. A randomized controlled trial reported that continuous ISB results in significantly shorter hospital stays than that of single injection ISB [24].…”

Section: Discussionmentioning

confidence: 99%

“…However, the catheter can dislocate during continuous ISB, and patients often become uncomfortable [15]. SSNB is the most widely used method for pain control from arthroscopic shoulder surgery and can be performed under arthroscopy guidance [7,[11][12][13]. ANB has also been adopted for shoulder pain control and is mainly used in combination with SSNB [2,11,13,22].…”

Section: Discussionmentioning

confidence: 99%

“…SSNB is the most widely used method for pain control from arthroscopic shoulder surgery and can be performed under arthroscopy guidance [7,[11][12][13]. ANB has also been adopted for shoulder pain control and is mainly used in combination with SSNB [2,11,13,22]. There are a couple of studies which compare a regional block with epidural or spinal block [8,9].…”

Section: Discussionmentioning

confidence: 99%

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Effects of arthroscopy-guided suprascapular nerve block combined with ultrasound-guided interscalene brachial plexus block for arthroscopic rotator cuff repair: a randomized controlled trial

Lee

Hwang

Kim

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…suprascapular nerve block [5,6], a single interscalene block combined with a continuous intrabursal infusion [7], intraarticular [8,9] or subacromial [10] injection of local anaesthetics, or postoperative intravenous opioid administration with patient-controlled intravenous analgesia [11]. There have been attempts to prolong the duration of sensory block by adding different adjuvants to local anaesthetics used in interscalene brachial plexus block (IBPB), such as dexamethasone [12,13] or dexmedetomidine [14].…”

mentioning

confidence: 99%

Randomised controlled trial of analgesic effectiveness of three different techniques of single-shot interscalene brachial plexus block using 20 mL of 0.5% ropivacaine for shoulder arthroscopy

Stasiowski

Kolny

Zuber

et al. 2017

Anaesthesiol Intensive Ther

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Background: Shoulder arthroscopic procedures impose a challenge to anaesthesiologists in terms of postoperative analgesia. Proper pain management after arthroscopic procedures improves patient satisfaction and facilitates early rehabilitation. Methods: We performed a randomized, prospective clinical study to assess the influence of anthropometric parameters and IBPB technique on the quality of postoperative analgesia. A total of 106 randomly selected patients of ASA I-III status scheduled for elective shoulder arthroscopy. Reasons for exclusion were neurological deficit in the upper arm, allergies to amide-type local anesthetics, coagulopathy, and pregnancy.The patients received 20 mL of 0.5% ropivacaine for an ultrasound-guided interscalene brachial plexus block (IBPB) (group U), peripheral nerve stimulation (PNS)-confirmed IBPB (group N), or ultrasound-guided, PNS-confirmed IBPB (dual guidance; group NU). Results: We observed that the three groups did not differ in mean time of sensory and motor block terminations. In individual cases in each group, sensory block lasted up to 890-990 minutes, providing satisfactory long lasting postoperative analgesia in patients receiving IBPB. We observed a negative correlation between body mass index and termination of motor block (P = 0.037, Pearson's correlation coefficient) and a positive correlation between age and termination of sensory block (P = 0.0314, Pearson's correlation coefficient) in group U compared to the other two groups. We found a positive correlation between male gender and termination of motor block (P = 0.0487, Pearson's correlation coefficient) in group N compared to the other two groups. Conclusion: In our study, patients received satisfactory analgesia in the postoperative period regardless of technique used, age, gender, or potentially uncommon anthropometry.

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Analgesic effectiveness of nerve block in shoulder arthroscopy: comparison between interscalene, suprascapular and axillary nerve blocks

Abstract: Clinical study, Level II.

Cited by 72 publications

References 23 publications

A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery

A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery

Effects of arthroscopy-guided suprascapular nerve block combined with ultrasound-guided interscalene brachial plexus block for arthroscopic rotator cuff repair: a randomized controlled trial

Randomised controlled trial of analgesic effectiveness of three different techniques of single-shot interscalene brachial plexus block using 20 mL of 0.5% ropivacaine for shoulder arthroscopy

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