Day case shoulder surgery: satisfactory pain control without regional anaesthesia. A prospective analysis of a perioperative protocol

Daruwalla, Zubin J; Halpenny, M.; Mullett, Hannan

doi:10.1007/s11845-008-0254-8

Cited by 4 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of this cohort group demonstrate that 90.4% were satisfied with their pain relief, even for open surgery and complex arthroscopic procedures. This level compares favourably with previously published results of shoulder surgery as a day‐case procedure, which report satisfaction in the range 80% to 85% [4,5]. Patient compliance in the present study was better than previous studies [5], with only two patients not following the postoperative regimen.…”

Section: Discussionsupporting

confidence: 85%

“…This level compares favourably with previously published results of shoulder surgery as a day‐case procedure, which report satisfaction in the range 80% to 85% [4,5]. Patient compliance in the present study was better than previous studies [5], with only two patients not following the postoperative regimen. The reasons for this are likely to be a combination of surgical and anaesthetic factors, as well as thorough patient education.…”

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Postoperative Pain Control using a Comprehensive Programme for Day-Case Shoulder Surgery

et al. 2010

View full text Add to dashboard Cite

Background To assess the effectiveness of a peri‐operative pain control regimen for day‐case shoulder surgery, including open and complex procedures. Methods A prospective cohort study of all patients undergoing day‐case shoulder surgery in a single hospital over a 1‐year period, using a comprehensive pain control regimen. The regimen included patient education, interscalene block, analgesics, nonsteroidal anti‐inflammatory medications and a cold compression shoulder wrap. All patients were followed up with a telephone call 24 hours after surgery to assess their pain levels, compliance and any ill effects. Results There were 187 patients in the time period, with 90.4% reporting that their pain was well controlled. Twenty‐eight patients (15%) experienced moderate and severe pain 24 hours postoperatively. These were limited to five common procedures, with arthroscopic rotator cuff repair and arthroscopic stabilization being the most common, comprising 75% of the reported painful procedures. Only four patients reported severe pain (2%). Two of these took no medication at all. Three of these four patients had 360° labral repairs and the other a massive, revision arthroscopic rotator cuff repair. Conclusion Postoperative pain after day‐case shoulder surgery can be effectively managed with a comprehensive analgesic regimen. This includes open shoulder surgery and complex arthroscopic procedures.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 85%

Postoperative Pain Control using a Comprehensive Programme for Day-Case Shoulder Surgery

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Hadzic et al demonstrated in a clinical trial that interscalene block for outpatient rotator cuff surgery provides several same-day recovery advantages over general anaesthesia [7]. Other studies have explored the alternatives: subacromial bursal block for subacromial decompressions [2] or combined subacromial and glenohumeral block for more complex procedures [3].…”

Section: Discussionmentioning

confidence: 99%

“…They stated that analgesia was inadequate after the block had worn off; and further commented that even if the patients were not daycases the block would have worn off on discharge the following day. Subsequent studies have explored the alternatives: subacromial bursal block for subacromial decompressions [2] or combined subacromial and glenohumeral block for more complex procedures [3].…”

Section: Introductionmentioning

confidence: 99%

Total Daycare Shoulder Surgery

Iossifidis

Bismil²,

Lakkireddi

et al. 2009

Shoulder & Elbow

View full text Add to dashboard Cite

Background There is continued interest in day surgery. Arthroscopic shoulder surgery may be performed on a daycase basis. Historically, daycase shoulder surgery has been limited by peri‐operative pain and anaesthetic issues; and to date there are no reports of daycase shoulder arthoplasty in the literature. Methods A prospective study of 112 patients having shoulder therapeutic arthroscopy or arthroplasty managed according to the total daycare pathway, which includes balanced anaesthesia and simple analgesia. Results One hundred and eight patients (96%) were discharged home by 17.00 hours without complications. However the remaining five cases required overnight admission for medical or anaesthetic reasons. Conclusion This study demonstrates that, with the correct infrastructure and a multidisciplinary approach: the full spectrum of shoulder surgery may be performed on a daycase basis using interscalene block and simple analgesia.

show abstract

“…Shoulder arthroscopy is an increasingly popular method for treating ailments of the shoulder joint (Daruwalla et al, 2009). Complication rate has been reported at between 4.6% and 10.6% (Marecek and Saltzman, 2010;Rains et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Subfebrile fever after shoulder arthroscopy: Is it a complication or benign transient situation?

Pişkin¹,

Kelsaka²,

Zengin³

et al. 2013

jecm

View full text Add to dashboard Cite

Article HistoryThe difference between the highest temperature observed in the postoperative period and the temperature in the preoperative period was calculated and termed as delta temperature. The delta temperature in the arthroscopically treated group was found 1.2± 0.7 o C and was 0.8±0.5 0 C in the other group (p<0.05). Time, gender and diagnosis were not a risk factor in the increase in the subfebrile temperature postoperatively. But the method of surgical treatment was found as a risk factor in the increase in subfebrile body temperature (p<0.021). We have seen increase in the subfebril temperature in both arthroscopically alone and arthroscopic+mini-open treated patients but the rise in the subfebrile temperature was higher in the arthroscopically treated patients compared with the other group. The surgical method whether arthroscopy or arthroscopic+mini-open is a risk factor for an increase in post operative temperature.

show abstract

Day case shoulder surgery: satisfactory pain control without regional anaesthesia. A prospective analysis of a perioperative protocol

Abstract: Our study indicates a very high level of patient satisfaction and good pain relief without the use of regional anaesthesia for patients undergoing shoulder surgery as a day case.

Cited by 4 publications

References 16 publications

Postoperative Pain Control using a Comprehensive Programme for Day-Case Shoulder Surgery

Postoperative Pain Control using a Comprehensive Programme for Day-Case Shoulder Surgery

Total Daycare Shoulder Surgery

Subfebrile fever after shoulder arthroscopy: Is it a complication or benign transient situation?

Contact Info

Product

Resources

About