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Comparison of interscalene brachial plexus block and intra-articular local anesthetic administration on postoperative pain management in arthroscopic shoulder surgery.
Braz J Anesthesiol. 2015 May-Jun; 65(3):222-9.BJ

Abstract

BACKGROUND AND OBJECTIVES

In this study, the aim was to compare postoperative analgesia effects of the administration of ultrasound-guided interscalene brachial plexus block and intra-articular bupivacaine carried out with bupivacaine.

METHODS

In the first group of patients 20 mL 0.25% bupivacaine and ultrasound-guided interscalene brachial plexus block (ISPB) were applied, while 20 mL 0.25% bupivacaine was given via intra-articular (IA) administration to the second group patients after surgery. Patients in the third group were considered the control group and no block was performed. Patient-controlled analgesia (PCA) with morphine was used in all three groups for postoperative analgesia.

RESULTS

In the ISPB group, morphine consumption in the periods between 0-4, 6-12 and 12-24 postoperative hours and total consumption within 24h was lower than in the other two groups. Morphine consumption in the IA group was lower than in the control group in the period from 0 to 6h and the same was true for total morphine consumption in 24h. Postoperative VASr scores in the ISPB group were lower than both of the other groups in the first 2h and lower than the control group in the 4th and 6th hours (p<0.05). In the IA group, VASr and VASm scores in the 2nd, 4th and 6th hours were lower than in the control group (p<0.05).

CONCLUSION

Interscalene brachial plexus block was found to be more effective than intra-articular local anesthetic injection for postoperative analgesia.

Authors+Show Affiliations

Department of Anesthesiology, Erciyes University, Medical Faculty, Kayseri, Turkey. Electronic address: raksu@erciyes.edu.tr.Department of Anesthesiology, Erciyes University, Medical Faculty, Kayseri, Turkey.Department of Anesthesiology, Erciyes University, Medical Faculty, Kayseri, Turkey.Department of Anesthesiology, Erciyes University, Medical Faculty, Kayseri, Turkey.Department of Anesthesiology, Erciyes University, Medical Faculty, Kayseri, Turkey.Department of Orthopedic Surgery, Erciyes University, Medical Faculty, Kayseri, Turkey.Department of Anesthesiology, Erciyes University, Medical Faculty, Kayseri, Turkey.Clinic of Anesthesiology and Reanimation, Department of Anesthesiology, Kayseri Training and Research Hospital, Kayseri, Turkey.Department of Anesthesiology, Erciyes University, Medical Faculty, Kayseri, Turkey.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

25925036

Citation

Aksu, Recep, et al. "Comparison of Interscalene Brachial Plexus Block and Intra-articular Local Anesthetic Administration On Postoperative Pain Management in Arthroscopic Shoulder Surgery." Brazilian Journal of Anesthesiology (Elsevier), vol. 65, no. 3, 2015, pp. 222-9.
Aksu R, Biçer C, Ülgey A, et al. Comparison of interscalene brachial plexus block and intra-articular local anesthetic administration on postoperative pain management in arthroscopic shoulder surgery. Braz J Anesthesiol. 2015;65(3):222-9.
Aksu, R., Biçer, C., Ülgey, A., Bayram, A., Güneş, I., Güney, A., Yıldırım, M. D., Gökahmetoğlu, G., & Yıldız, K. (2015). Comparison of interscalene brachial plexus block and intra-articular local anesthetic administration on postoperative pain management in arthroscopic shoulder surgery. Brazilian Journal of Anesthesiology (Elsevier), 65(3), 222-9. https://doi.org/10.1016/j.bjane.2014.06.005
Aksu R, et al. Comparison of Interscalene Brachial Plexus Block and Intra-articular Local Anesthetic Administration On Postoperative Pain Management in Arthroscopic Shoulder Surgery. Braz J Anesthesiol. 2015 May-Jun;65(3):222-9. PubMed PMID: 25925036.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of interscalene brachial plexus block and intra-articular local anesthetic administration on postoperative pain management in arthroscopic shoulder surgery. AU - Aksu,Recep, AU - Biçer,Cihangir, AU - Ülgey,Ayşe, AU - Bayram,Adnan, AU - Güneş,Işın, AU - Güney,Ahmet, AU - Yıldırım,Mustafa Denizhan, AU - Gökahmetoğlu,Günhan, AU - Yıldız,Karamehmet, Y1 - 2014/10/18/ PY - 2014/03/26/received PY - 2014/05/20/revised PY - 2014/06/16/accepted PY - 2015/5/1/entrez PY - 2015/5/1/pubmed PY - 2016/12/15/medline KW - Anestésico local intra-articular KW - Arthroscopic shoulder surgery KW - Bloqueio do plexo braquial por via interescalênica guiado por ultrassom KW - Bupivacaine KW - Bupivacaína KW - Cirurgia artroscópica do ombro KW - Intra-articular local anesthetic KW - Ultrasound-guided interscalene brachial plexus block SP - 222 EP - 9 JF - Brazilian journal of anesthesiology (Elsevier) JO - Braz J Anesthesiol VL - 65 IS - 3 N2 - BACKGROUND AND OBJECTIVES: In this study, the aim was to compare postoperative analgesia effects of the administration of ultrasound-guided interscalene brachial plexus block and intra-articular bupivacaine carried out with bupivacaine. METHODS: In the first group of patients 20 mL 0.25% bupivacaine and ultrasound-guided interscalene brachial plexus block (ISPB) were applied, while 20 mL 0.25% bupivacaine was given via intra-articular (IA) administration to the second group patients after surgery. Patients in the third group were considered the control group and no block was performed. Patient-controlled analgesia (PCA) with morphine was used in all three groups for postoperative analgesia. RESULTS: In the ISPB group, morphine consumption in the periods between 0-4, 6-12 and 12-24 postoperative hours and total consumption within 24h was lower than in the other two groups. Morphine consumption in the IA group was lower than in the control group in the period from 0 to 6h and the same was true for total morphine consumption in 24h. Postoperative VASr scores in the ISPB group were lower than both of the other groups in the first 2h and lower than the control group in the 4th and 6th hours (p<0.05). In the IA group, VASr and VASm scores in the 2nd, 4th and 6th hours were lower than in the control group (p<0.05). CONCLUSION: Interscalene brachial plexus block was found to be more effective than intra-articular local anesthetic injection for postoperative analgesia. SN - 2352-2291 UR - https://www.unboundmedicine.com/medline/citation/25925036/Comparison_of_interscalene_brachial_plexus_block_and_intra_articular_local_anesthetic_administration_on_postoperative_pain_management_in_arthroscopic_shoulder_surgery_ DB - PRIME DP - Unbound Medicine ER -