Bridging multimodal pain management provides 48-hour pain control in patients undergoing total shoulder replacement

Boddu, Chandrakanth; Genza, Ashley; McCann, Peter D

doi:10.1016/j.jse.2017.12.026

Cited by 16 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1). When the methods applied to reduce postoperative pain in the literature are examined, it was found that the blocks are done in addition to general anesthesia to reduce pain in the immediate postoperative period (7,11,16,19,(22)(23)(24). Our study also found that the general anesthesia + scalene block procedure reduced postoperative pain by more than 50% compared to the other group.…”

Section: Methodssupporting

confidence: 56%

“…Despite optimal postoperative pain management and patient satisfaction, cliniciansʹ risk of postoperative complications is still an important challenge. Many studies have been conducted to reveal which method is superior in postoperative pain control after arthroscopic rotator cuff operations (6,10,(16)(17)(18)(19). However, although the blocks performed at the surgical site and general anesthesia in shoulder arthroscopy are known to be safe, easy, and have lesser ÖZ Amaç: Cerrahi sonrası özellikle ilk 48 saatte görülen postoperatif ağrı önemli bir problemdir ve postoperatif ağrı kontrolünde çeşitli yöntemler kullanılmaktadır.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The effect of general anesthesia and combined general and regional anesthesia on postoperative pain in arthroscopic rotator cuff surgery: a randomized controlled prospective study

Akçal¹,

Göksu²,

Bayar³

et al. 2021

Deu Med J

View full text Add to dashboard Cite

Objective: Postoperative pain seen in the first 48 hours after surgery, is an important problem and various methods are used in postoperative pain control. This study aims to investigate the effects of general anesthesia and combined general and regional anesthesia use on postoperative pain in arthroscopic rotator cuff repair operations.Materials and Methods: Twenty-eight female patients who were planned for arthroscopic rotator cuff surgery were included. The patients were randomly divided into two groups. Scalene block was applied to patients in Group 1 (n=14) in addition to general anesthesia while the patients in Group 2 (n=14) received only general anesthesia. Pain levels of the groups at the sixth, 12th, and 24th hours were evaluated with the Visual Analogue Scale (VAS). The findings were analyzed with Student's-t test and Mann-Whitney U test using SPSS 18.0 statistical program. Results:The average age of the Group 1 was 57 (45 ± 68); and the average age of the patients in Group 2 was 57.93 (47 ± 69). The postoperative pain levels of Group 1 was 1.57 (± 1.74) at the 6th hour; 2.57 (± 1.28) at the 12th hour, 2.71 (± 1.20) at the 24th hour; in Group 2 the 6th hour pain level was 8.00 (± 1.75); 12th hour level was 7.00 (± 1.52); and it was 6.00 (± 1.57) at the 24th hour. There was a statistically significant difference in all measurements in terms of VAS scores (p <0.001). Conclusion:It is concluded that implementation of scalene block in addition to general anesthesia, increases the success of the operation in arthroscopic rotator cuff repair surgery.

show abstract

Section: Methodssupporting

confidence: 56%

mentioning

confidence: 99%

The effect of general anesthesia and combined general and regional anesthesia on postoperative pain in arthroscopic rotator cuff surgery: a randomized controlled prospective study

Akçal¹,

Göksu²,

Bayar³

et al. 2021

Deu Med J

View full text Add to dashboard Cite

show abstract

“…Several recent studies have described the clinical efficacy of pain control using periarticular, LIA, and FBs in open and arthroscopic shoulder surgery. 3 , 18 , 19 These injections represent methods for pain control, opiate minimization, and in some cases an alternative to ISB. Although there are many studies that report favorable clinical outcomes, there are very limited data that evaluate the anatomic accuracy and safety of these injections.…”

Section: Discussionmentioning

confidence: 99%

“… 19 Further studies have compared multimodal therapies of combining LIA and ISB. Boddu et al 3 evaluated the efficacy of the multimodal analgesic protocol associating ISB and LIA in patients who underwent TSA. These reports include local blocks with and without ISB with clinical efficacy and equivalent (and in some cases enhanced) efficacy.…”

mentioning

confidence: 99%

“…These reports include local blocks with and without ISB with clinical efficacy and equivalent (and in some cases enhanced) efficacy. 3 , 18 , 19 In 2019, Sethi et al 18 reported a decrease in the consumption of opioids with the use of a liposomal bupivacaine FB in addition to an ISB. These adjuvant blocks are a useful alternative or additive to ISB, but there are no reports on the anatomic accuracy or safety of these techniques.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Determining anatomic accuracy of shoulder field injection: triangular injection technique does adequately reach pain transmitters

Sheth¹

2020

JSES International

View full text Add to dashboard Cite

Background Controlling pain after shoulder surgery is a critical component of postsurgical care. Several recent studies have described the use of periarticular, local infiltration anesthesia, and field blocks (FBs) with clinical efficacy after shoulder surgery. The anatomic accuracy and safety of these FBs have not been well described. The purpose of this study was to determine the accuracy of a surgeon performed shoulder field injection. We hypothesized that our field injection would adequately reach the pain transmitters responsible for postsurgical shoulder pain. Methods A total of 10 cadaveric specimens were used in the study. A mixture of liposomal bupivacaine, normal saline, and methylene blue totaling 60 cc was prepared. After injection, the specimens were left for 4 hours to allow medication diffusion. The dissection of specimens was performed to identify 4 areas: axillary nerve, suprascapular nerve, supraclavicular nerves, and joint capsule. On dissection, accuracy rates were determined for each area. Results All 10 cadaveric specimens were injected and dissected to completion. The dissection of the axillary nerve showed methylene blue dye surrounding the nerve in 10 of 10 (100%) specimens, the suprascapular nerve in 9 of 10 (90%), and the supraclavicular nerves in 10 of 10 (100%). Zero of 10 (0%) specimens had any dye penetrate into the glenohumeral joint or capsule. Conclusion The accuracy rates of the injection of the mixture into the shoulder specimens suggest potential to reproduce an FB to the tissues that are responsible for postoperative pain after shoulder surgery. This may represent an option when interscalene nerve block is not desired or contraindicated.

show abstract

Shoulder Arthroplasty: Pain Management

Üzümcügil

Saricaoglu

2020

Shoulder Arthroplasty

View full text Add to dashboard Cite

Bridging multimodal pain management provides 48-hour pain control in patients undergoing total shoulder replacement

Cited by 16 publications

References 12 publications

The effect of general anesthesia and combined general and regional anesthesia on postoperative pain in arthroscopic rotator cuff surgery: a randomized controlled prospective study

The effect of general anesthesia and combined general and regional anesthesia on postoperative pain in arthroscopic rotator cuff surgery: a randomized controlled prospective study

Determining anatomic accuracy of shoulder field injection: triangular injection technique does adequately reach pain transmitters

Shoulder Arthroplasty: Pain Management

Contact Info

Product

Resources

About