Subacromial and intra-articular morphine versus bupivacaine after shoulder arthroscopy

Scoggin, James F.; Mayfield, Gerald W.; Awaya, Darin J.; Pi, Michael; Prentiss, Jerry E.; Takahashi, Jayme M.

doi:10.1053/jars.2002.29895

Cited by 47 publications

(39 citation statements)

References 16 publications

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“…In addition, continuous local analgesic infusion is not very effective for controlling pain and has several associated complications. 12,21 The standard of care for shoulder arthroscopy at many institutions is interscalene nerve block. Interscalene block is very effective for arthroscopic shoulder surgery, 1 for which various methods have been introduced.…”

Section: Discussionmentioning

confidence: 99%

An anatomic and clinical study of the suprascapular and axillary nerve blocks for shoulder arthroscopy

Nam

Jeong

Han

et al. 2011

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

An anatomic and clinical study of the suprascapular and axillary nerve blocks for shoulder arthroscopy

Nam

Jeong

Han

et al. 2011

Journal of Shoulder and Elbow Surgery

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“…Henn et al [36] and Scoggin et al [37] did not find any significant benefit of 5-mg morphine regarding postoperative pain relief; however, Muittari and Kirvelä [38] reported on a lower consumption of rescue analgesics in patients with intrabursal administration of 5-mg oxycodone at the end of open shoulder surgery. The continuous intrabursal infusion of morphine plus bupivacaine (40 mL 0.5% bupivacaine + 8 mg of morphine 0.5 mL/h) through an intrabursal catheter seemed to provide better analgesia and less consumption of rescue analgesics compared with a saline-treated control group.…”

Section: Intra-articular Administrationmentioning

confidence: 96%

Peripheral opioid analgesia: Clinical applications

Oeltjenbruns¹,

Schäfer

2005

Current Science Inc

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Peripheral opioid analgesia is undoubtedly of clinical relevance, especially considering that systemic opioid therapy often is hampered by central side effects. Despite some clinical studies that do not show peripheral opioid-mediated pain control, mostly because of methodologic shortcomings, studies evaluating inflammatory pain conditions show clear evidence and the number and the sites of applications are increasing. The intention of this paper is to give insight into the recent experience with the clinical applications of peripheral opioid analgesia.

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“…Complications such as vomiting, nausea, sedation, or unsatisfactory analgesic effects cannot be observed. 10,11 The ISB has turned into a preferred technique for intraoperative anesthesia and postoperative analgesia worldwide. However, this technique has been associated with potential side effects and complications, such as rebound pain, phrenic nerve palsy respiratory distress, or diaphragmatic paresis.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of analgesics in patients undergoing arthroscopic repair of rotator cuff at Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat

Kotak¹,

Rudani²

2017

Int J Res Orthop

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Background: To evaluate analgesic efficacy when catheters are positioned with assistance of arthroscope to block suprascapular and axillary nerves in patients undergoing arthroscopic repair of rotator cuff under general anesthesia.Methods: Present study was performed at department of orthopedics, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat. 24 patients who experienced arthroscopic repair of rotator cuff between July 2015 and October 2015 were catheterized to block suprascapular and axillary nerves through shoulder arthroscopy were incorporated in the study. Clinical outcomes were assessed using visual analog scale (VAS) scores preoperatively and at 0 h, 6 h, 12 h, 18 h, 24 h, and postoperative day 2.Results: Preoperative and postoperative 0 h, 6 h, 12 h, 18 h, 24 h, and day 2 mean VAS scores were 6.37±0.91, 0.45±0.39, 0.59±0.40, 0.62±0.39, 0.61±0.42, 0.51±0.35, and 1.54±0.50, respectively. No statistical difference was found among 0 h, 6 h, 12 h, 18 h, and 24 h time points; however, assessment of postoperative day 2 and postoperative 0 h, 6 h, 12 h, 18h and 24 h VAS scores showed statistically significant difference (P <0.05). All patients were discharged at the end of 24 h with no complication. The mean time (in minutes) required for blocking suprascapular nerve and axillar nerve were 14.38±3.21 and 3.75±0.85, respectively. Conclusions: These results confirmed that blocking two nerves with arthroscopic approach was an excellent pain management method in postoperative period. Accordingly, patients could recover rapidly and patients’ satisfaction could be improved.

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Subacromial and intra-articular morphine versus bupivacaine after shoulder arthroscopy

Cited by 47 publications

References 16 publications

An anatomic and clinical study of the suprascapular and axillary nerve blocks for shoulder arthroscopy

An anatomic and clinical study of the suprascapular and axillary nerve blocks for shoulder arthroscopy

Peripheral opioid analgesia: Clinical applications

Efficacy of analgesics in patients undergoing arthroscopic repair of rotator cuff at Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat

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