Subacromial bursa block is an effective alternative to interscalene block for postoperative pain control after arthroscopic subacromial decompression: A randomized trial

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

“…The feasibility of managing patients with a continuous interscalene brachial plexus blockade (CIBPB) in the community has also been reported [2]. Interscalene blocks for arthroscopic shoulder surgery are widely used and have been reported as the gold standard [3]. Subacromial bursal blocks have also been shown to provide effective, safe, and easily administered postoperative analgesia in patients undergoing arthroscopic subacromial decompression [3].…”

“…Interscalene blocks for arthroscopic shoulder surgery are widely used and have been reported as the gold standard [3]. Subacromial bursal blocks have also been shown to provide effective, safe, and easily administered postoperative analgesia in patients undergoing arthroscopic subacromial decompression [3]. Our objective was to prospectively study the efficacy of oral analgesia [4] in combination with either a surgeon-administered subacromial bursal block (SASBB) or an anaesthetist-administered interscalene block (AAISB) for postoperative pain in 117 patients undergoing arthroscopic shoulder surgery as a day case.…”

The Efficacy of Additional Intravenous Patient-controlled Analgesia to the Interscalene Block in Arthroscopic Shoulder Surgery: A Prospective Randomized Controlled Study

“…After arthroscopic surgery, ISB also showed better or comparable analgesic effects when compared with single subacromial block (SAB) or continuous SAB. [14][15][16] Interestingly, another study that compared pain relief after arthroscopic shoulder surgery for the combination of IV-PCA with ISB and IV-PCA alone showed a lower VAS pain score for a period of immediately following the surgery to 8 hours after surgery in the IV-PCA with ISB group than in the IV-PCA alone group. 17) A high pain score during the first 8 hours was observed in the IV-PCA group, demonstrating an inadequate efficacy of single IV-PCA for pain relief after arthroscopy surgery.…”

Local Anaesthesia Efficacy as Postoperative Analgesia for Open Shoulder Instability Surgery: A Prospective Randomised Controlled Study

“…The single local anaesthetic injection effectiveness for open shoulder surgery was previously poorly documented and not well defined [2,8,14], more data even if with discordant results have been reported that however were more related to the continuous infusion of anaesthetics and arthroscopic setting [5,9,[15][16][17]. Anyhow, a little clinical benefit of local infiltration was evidenced [3].…”