“…Post-VC pain has three components: incisional, visceral and referred, the latter in general in the shoulder 3 . In addition to discomfort and postoperative physiological repercussions, such as respiratory restriction, tachycardia and hypertension, pain delays early ambulation and hospital discharge 4,5 . Multimodal analgesia has been used to minimize post-VC pain, including the perioperative use of non-steroid anti-inflammatory drugs (NSAIDs), opioids, N-methyl D-aspartate receptor inhibitors (NMDA), anticonvulsants and local anesthetic infiltration in the surgical wound.…”