Abstract
Background and objectives: The aim of present study was to evaluate for the first time, the clinical effect of local anaesthetic infiltration as postoperative analgesia in open shoulder surgery for anterior-inferior instability. The comparison of the local infiltration and interscalenic brachial plexus block to a control group test the local anaesthetic efficacy in this surgery. Methods: 78 patients scheduled for open shoulder surgery were enrolled and randomly assigned to one of three groups: local infiltration anaesthesia (LIA), interscalenic brachial plexus block (IBPB) and control (C). All patients received standardized general anaesthesia and all injections were performed with the same dose and volume of anaesthetic. The number boluses delivered by a PCA pump applied at the end of surgery and the visual analogue score (VAS) at 0, 2, 4, 6, 12, 18 and 24 hours after intervention were recorded. A patient satisfaction score was also assessed.
Highlights
Open shoulder surgery for anterior-inferior instability is a common procedure that may lead to severe postoperative pain
Postoperative pain is usually managed by a variety of methods, including single shot and continuous interscalenic brachial plexus block (IBPB), patient-controlled analgesia (PCA) with opioids, continuous wound infiltration with local anaesthetics [2,3]
Seven cases were excluded from the statistical analysis, as they would have notably altered the evaluation of the visual analogue score (VAS) and the number of boluses during the postoperative period
Summary
Open shoulder surgery for anterior-inferior instability is a common procedure that may lead to severe postoperative pain. IBPB is an effective anaesthetic and analgesic technique for open shoulder surgery that requires skilled personnel It can be associated with severe acute adverse effects that are potentially devastating in addition to complications involving the peripheral nervous system [4,5]. These latter events, even if reported to a lesser degree, are evident when large case studies are examined, and can lead to a high level of patient discomfort that may interfere with postoperative assessment and function [3,6,7]. The comparison of the local infiltration and interscalenic brachial plexus block to a control group test the local anaesthetic efficacy in this surgery
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
