Interscalene brachial plexus bolus block versus patient-controlled interscalene indwelling catheter analgesia for the first 48 hours after arthroscopic rotator cuff repair

Kim, Jong-Ho; Koh, Hyun Jung; Kim, Dong Kyu; Lee, Hyo Jin; Kwon, Kui Hyang; Lee, Kwang-Yeol; Kim, Yang-Soo

doi:10.1016/j.jse.2018.02.048

Cited by 50 publications

(60 citation statements)

References 39 publications

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“…https://doi.org/10.4097/kja.20436 [2,7,10,30,31] that roughly corresponds to the expected resolution time for this block ( Table 2). A 2015 meta-analysis reported a statistically significant difference in rest pain scores 24 h postoperatively in favor of the GA-only group, but the mean difference was only 0.96 on a 0-10 visual analog scale and thus of limited clinical significance [32].…”

Section: Potential Pro-nociceptive Effects Of Local Anestheticsmentioning

confidence: 68%

“…Rebound pain is a phenomenon that primarily manifests following PNB that provide dense sensory blockade (e.g., brachial plexus [2,7,10], popliteal sciatic [3,9] nerve blocks). Dramatic increases in pain scores and opioid consumption related to block offset are not usually seen in studies of fascial plane blocks such as transversus abdominis plane [59], pectoral nerves [60], erector spinae plane, [61] and quadratus lumborum [62,63] blocks.…”

Section: Regional Anesthetic Techniquesmentioning

confidence: 99%

“…However, rebound pain after RA is increasingly recognized as an adverse effect [6] that can compromise analgesic benefit. This phenomenon is incompletely understood but appears more evident with RA techniques designed to provide surgical anesthesia or to otherwise completely abolish pain perception well into the early postoperative period; most commonly, single-injection peripheral nerve blockade (PNB) [2,7,8]. In this article we will provide an overview of our current understanding of rebound pain, discuss prevention strategies, and provide practical recommendations for the management of acute postoperative pain arising after the use of RA.…”

Section: Introductionmentioning

confidence: 99%

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Managing rebound pain after regional anesthesia

Muñoz-Leyva

Cubillos

Chin

2020

Korean J Anesthesiol

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Rebound pain after regional anesthesia can be defined as transient acute postoperative pain that ensues following resolution of sensory blockade, and is clinically significant, either with regard to the intensity of pain or the impact on psychological well-being, quality of recovery, and activities of daily living. Current evidence suggests that it represents an unmasking of the expected nociceptive response in the absence of adequate systemic analgesia, rather than an exaggerated hyperalgesic phenomenon induced by local anesthetic neural blockade. In the majority of patients, it does not appear to significantly impact cumulative postoperative opioid consumption, quality of recovery, or patient satisfaction, and is not associated with longer-term sequelae such as persistent post-surgical pain. Nevertheless, it must be considered whenever regional anesthesia is incorporated into perioperative management. Strategies to mitigate the impact of rebound pain include routine prescribing of a systemic multimodal analgesic regimen, as well as patient education on appropriate expectations regarding block offset and expected surgical pain, and timely initiation of analgesic medication. Prolonging the duration of action of regional anesthesia with continuous catheter techniques or local anesthetic adjuncts may also help alleviate rebound pain, although further research is required to confirm this.

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Section: Potential Pro-nociceptive Effects Of Local Anestheticsmentioning

confidence: 68%

Section: Regional Anesthetic Techniquesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Managing rebound pain after regional anesthesia

Muñoz-Leyva

Cubillos

Chin

2020

Korean J Anesthesiol

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“…Kim et al. compared three groups: single‐shot interscalene block, continuous interscalene block and no block (i.v. meperidine as needed).…”

Section: Resultsmentioning

confidence: 99%

PROSPECT guideline for rotator cuff repair surgery: systematic review and procedure‐specific postoperative pain management recommendations

et al. 2019

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Summary Rotator cuff repair can be associated with significant and difficult to treat postoperative pain. We aimed to evaluate the available literature and develop recommendations for optimal pain management after rotator cuff repair. A systematic review using procedure‐specific postoperative pain management (PROSPECT) methodology was undertaken. Randomised controlled trials published in English from 1 January 2006 to 15 April 2019 assessing postoperative pain after rotator cuff repair using analgesic, anaesthetic or surgical interventions were identified from MEDLINE, Embase and Cochrane Databases. Out of 322 eligible studies identified, 59 randomised controlled trials and one systematic review met the inclusion criteria. Pre‐operative and intra‐operative interventions that improved postoperative pain were paracetamol, cyclo‐oxygenase‐2 inhibitors, intravenous dexamethasone, regional analgesia techniques including interscalene block or suprascapular nerve block (with or without axillary nerve block) and arthroscopic surgical technique. Limited evidence was found for pre‐operative gabapentin, perineural adjuncts (opioids, glucocorticoids, or α‐2‐adrenoceptor agonists added to the local anaesthetic solution) or postoperative transcutaneous electrical nerve stimulation. Inconsistent evidence was found for subacromial/intra‐articular injection, and for surgical technique‐linked interventions, such as platelet‐rich plasma. No evidence was found for stellate ganglion block, cervical epidural block, specific postoperative rehabilitation protocols or postoperative compressive cryotherapy. The analgesic regimen for rotator cuff repair should include an arthroscopic approach, paracetamol, non‐steroidal anti‐inflammatory drugs, dexamethasone and a regional analgesic technique (either interscalene block or suprascapular nerve block with or without axillary nerve block), with opioids as rescue analgesics. Further randomised controlled trials are required to confirm the influence of the recommended analgesic regimen on postoperative pain relief.

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“…1 Postoperative care is an upcoming field of interest, specifically, the search for adequate postoperative pain management and the described "pain bounce" on the day after surgery that is intercepted with opiates and perineural catheters. 2,3 We should realize that early return to daily living activities and work is relevant and clinically important. In addition, participation in society has a major influence on quality of life experience.…”

Section: See Related Article On Page 1016mentioning

confidence: 99%

Editorial Commentary: Optimizing Postoperative Care After Rotator Cuff Repair: What Do We Know and Understand?

Hollman

Wolterbeek

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Optimization of the management of rotator cuff tears is still needed. Preoperative patient selection, perioperative surgical techniques, and postoperative care are all important topics that are studied extensively. This commentary will examine the current situation and important fields of interest for future research. Postoperative pain management is scrutinized in relation to the level of abduction using an abduction brace.

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Interscalene brachial plexus bolus block versus patient-controlled interscalene indwelling catheter analgesia for the first 48 hours after arthroscopic rotator cuff repair

Cited by 50 publications

References 39 publications

Managing rebound pain after regional anesthesia

Managing rebound pain after regional anesthesia

PROSPECT guideline for rotator cuff repair surgery: systematic review and procedure‐specific postoperative pain management recommendations

Editorial Commentary: Optimizing Postoperative Care After Rotator Cuff Repair: What Do We Know and Understand?

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