Efficacy of continuous subacromial bupivacaine infusion for pain control after arthroscopic rotator cuff repair

Schwartzberg, Randy; Reuss, Bryan L.; Rust, Randy T.

doi:10.1016/j.jse.2013.03.016

Cited by 24 publications

(18 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During the operation, all affected tissues are infiltrated with a mixture of ropivacaine, ketorolac, and epinephrine. There are currently no results of LIA applied to alleviate pain after shoulder replacement, although other techniques involving subcutaneous, subacromial, or intraarticular injections or infusions have been used in shoulder surgery with varying results [12][13][14][15]. Our aim was to compare the effectiveness of the new LIA method to the well-described ISC after shoulder replacement, assessed by differences in post-operative analgesic use and pain scores.…”

Section: Introductionmentioning

confidence: 99%

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

Bjørnholdt

Jensen

Bendtsen

et al. 2015

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

Bjørnholdt

Jensen

Bendtsen

et al. 2015

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

“…The author did not find any difference in pain scores or analgesic consumption between subacromial infiltration and placebo. 77 Probably, the limited effectiveness of this technique in the pain control is linked to the complex and rich innervation of the shoulder which is difficult to control through the infusion at the site of the surgical wound compared to what happens through the interscalenic infusion of the brachial plexus.…”

Section: Upper Limb Surgerymentioning

confidence: 99%

<p>Continuous Wound Infiltration of Local Anesthetics in Postoperative Pain Management: Safety, Efficacy and Current Perspectives</p>

Paladini

Carlo

Musella

et al. 2020

JPR

View full text Add to dashboard Cite

Local infiltration and continuous infusion of surgical wound with anesthetics are parts of multimodal analgesia for postoperative pain control. The techniques, given the simplicity of execution that does not increase the timing of the intervention and does not require additional technical skills, are applied in several kinds of surgeries. The continuous wound infiltration can be used for days and a variety of continuous delivery methods can be chosen, including patientcontrolled analgesia, continuous infusion or intermittent bolus. The purpose of this narrative review is to analyze the literature, in particular by researching the safety, efficacy and current perspectives of continuous wound infiltration for postoperative pain management in different surgical settings. We have identified 203 articles and 95 of these have been taken into consideration: 17 for the lower limb surgery; 7 for the upper limb surgery, 51 for the laparotomy/ laparoscopic surgery of the abdominopelvic area, 13 studies regarding breast surgery and 7 for cardiothoracic surgery. The analysis of these studies reveals that the technique has a variable effectiveness based on the type of structure involved: it is better in structures rich in subcutaneous and connective tissue, while the effectiveness is limited in anatomic districts with a greater variability of innervation. However, regardless the heterogeneity of results, a general reduction in pain intensity and in opioid consumption has been observed with continuous wound infiltration: it is an excellent analgesic technique that can be included in the multimodal treatment of postoperative pain or represents a valid alternative when other options are contraindicated.

show abstract

“…In shoulder surgery, a continuous infusion pump of analgesia has been described as an effective tool for postoperative pain management. However, in recent reports by Schwartzberg et al 17) and Coghlan et al, 18) the use of a continuous subacromial infusion pump resulted in no detectable pain reduction after arthroscopic shoulder surgery. In addition, some complications have been reported, such as leakage, infection, and chondrolysis.…”

Section: Discussionmentioning

confidence: 94%

Comparison of Arthroscopically Guided Suprascapular Nerve Block and Blinded Axillary Nerve Block vs. Blinded Suprascapular Nerve Block in Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial

Cho

Lee

et al. 2017

Clin Orthop Surg

View full text Add to dashboard Cite

BackgroundThe purpose of this study was to compare the results of arthroscopically guided suprascapular nerve block (SSNB) and blinded axillary nerve block with those of blinded SSNB in terms of postoperative pain and satisfaction within the first 48 hours after arthroscopic rotator cuff repair.MethodsForty patients who underwent arthroscopic rotator cuff repair for medium-sized full thickness rotator cuff tears were included in this study. Among them, 20 patients were randomly assigned to group 1 and preemptively underwent blinded SSNB and axillary nerve block of 10 mL 0.25% ropivacaine and received arthroscopically guided SSNB with 10 mL of 0.25% ropivacaine. The other 20 patients were assigned to group 2 and received blinded SSNB with 10 mL of 0.25% ropivacaine. Visual analog scale (VAS) score for pain and patient satisfaction score were assessed 4, 8, 12, 24, 36, and 48 hours postoperatively.ResultsThe mean VAS score for pain was significantly lower 4, 8, 12, 24, 36, and 48 hours postoperatively in group 1 (group 1 vs. group 2; 5.2 vs. 7.4, 4.1 vs. 6.1, 3.0 vs. 5.1, 2.1 vs. 4.2, 0.9 vs. 3.9, and 1.3 vs. 3.3, respectively). The mean patient satisfaction score was significantly higher at postoperative 4, 8, 12, 24, 36, and 48 hours in group 1 (group 1 vs. group 2; 6.7 vs. 3.9, 7.4 vs. 5.1, 8.8 vs. 5.9, 9.2 vs. 6.7, 9.5 vs. 6.9, and 9.0 vs. 7.2, respectively).ConclusionsArthroscopically guided SSNB and blinded axillary nerve block in arthroscopic rotator cuff repair for medium-sized rotator cuff tears provided more improvement in VAS for pain and greater patient satisfaction in the first 48 postoperative hours than blinded SSNB.

show abstract

Efficacy of continuous subacromial bupivacaine infusion for pain control after arthroscopic rotator cuff repair

Cited by 24 publications

References 13 publications

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

<p>Continuous Wound Infiltration of Local Anesthetics in Postoperative Pain Management: Safety, Efficacy and Current Perspectives</p>

Comparison of Arthroscopically Guided Suprascapular Nerve Block and Blinded Axillary Nerve Block vs. Blinded Suprascapular Nerve Block in Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial

Contact Info

Product

Resources

About