Assessment of pain relief provided by interscalene regional block and infusion pump after arthroscopic shoulder surgery

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
William J CicconeJohn J Elias

Abstract

This study was performed to evaluate the efficacy of interscalene regional blocks and infusion pumps for postoperative pain control after arthroscopic subacromial decompression with or without arthroscopic rotator cuff repair. Seventy-six patients were included in the prospective study. Participants were randomized into 4 treatment groups: (1) interscalene regional block, (2) infusion pump with 0.5% bupivacaine, (3) interscalene block combined with an infusion pump containing 0.5% bupivacaine, and (4) interscalene block combined with an infusion pump containing 0.9% saline solution. The interscalene regional block was performed with a nerve stimulator. Infusion pump catheters were positioned in the subacromial space. Visual analog scale (VAS) data were collected preoperatively, at 1 and 2 hours postoperatively, and daily for an additional 6 days postoperatively. An analysis of variance with a Student-Newman-Keuls post hoc test was used to identify statistically significant (P < .05) differences in VAS scores between the groups at each time point. Percentages of patients who took medication for pain management in the recovery room were compared between the 4 groups by use of chi(2) analysis. Significant differences were noted in...Continue Reading

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