지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.1
- 수록면
- 224 - 228 (5page)
이용수
초록· 키워드
오류제보하기
Background: Shoulder arthroscopic surgery is frequently associated with severe postoperative pain, which can be difficult to manage without the use of high-dose opioids. Although an interscalene brachial plexus block (ISBPB) can be used to provide anesthesia for shoulder arthroscopic surgery, its effect using low-dose mepivacaine on postoperative pain management has not been reported. We hypothesized that ISBPB using a low-dose mepivacaine can provide effective postoperative analgesia for shoulder arthroscopic surgery without the need for high-dose opioids and act as a significant motor or sensory block.
Methods: This study examined a total of 40 patients, who underwent shoulder arthroscopic surgery, and received ISBPB with 10 ml of normal saline (group NS; n = 20) or 10 ml of 1% mepivacaine with epinephrine 1：200,000 (group MC; n = 20). The block was performed preoperatively. The postoperative pain score, opioid consumption, and side effect were recorded.
Results: The visual analog scale scores were significantly lower in group MC than in group NS at 120 minutes after shoulder arthroscopic surgery (1.9 ± 1.0 versus 4.0 ± 1.4). Group MC showed significantly lower fentanyl consumption after shoulder arthroscoic surgery than group NS (27 ± 32.6 versus 79 ± 18.9μg). The degree of motor and sensory block after surgery was minimal.
Conclusions: ISBPB using low-dose mepivacaine reduced the level of postoperative pain and fentanyl consumption without significant side effects. ISBPB using low-dose mepivacaine is a useful analgesic technique for shoulder arthroscopic surgery.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Al-Kaisy A / 1998 / Analgesic effect of interscalene block using low-dose bupivacaine for outpatient arthroscopic shoulder surgery / Reg Anesth Pain Med 23 : 469 ~ 473
Bruin G / 1996 / Low-volume interscalene brachial plexus block for perioperative shoulder pain / Reg Anesth 21 : 371 ~ 371
Desjardins PJ / 2002 / A single preoperative oral dose of valdecoxib, a new cyclooxygenase-2 specific inhibitor, relieves post-oral surgery or bunionectomy pain / Anesthesio
Hadzic A / 2005 / For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia / Anesthesiology 102 : 1001 ~ 1007
Junger A / 2001 / Factors determining length of stay of surgical day-case patients / Eur J Anaesthesiol 18 : 314 ~ 321
Bruin G / 1996 / Low-volume interscalene brachial plexus block for perioperative shoulder pain / Reg Anesth 21 : 371 ~ 371
Desjardins PJ / 2002 / A single preoperative oral dose of valdecoxib, a new cyclooxygenase-2 specific inhibitor, relieves post-oral surgery or bunionectomy pain / Anesthesio
Hadzic A / 2005 / For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia / Anesthesiology 102 : 1001 ~ 1007
Junger A / 2001 / Factors determining length of stay of surgical day-case patients / Eur J Anaesthesiol 18 : 314 ~ 321
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Is Arthroscopic Shoulder Surgery Really Low-invasive? : Discharge Two Days after Surgery is Possible
대한견주관절의학회 학술대회논문집
2009 .05
-
Advantage of Arthroscopic Surgery for shoulder Instability
대한견주관절의학회 학술대회논문집
2001 .05
-
Arthroscopic Approach of the shoulder
대한견주관절의학회 학술대회논문집
2003 .11
-
Arthroscopic versus Open Surgery in traumatic Shoulder Instability
대한견주관절의학회 학술대회논문집
1995 .03
-
ARTHROSCOPIC SHOULDER STABILIZATION
대한견주관절의학회 학술대회논문집
1997 .05
-
Arthroscopic Management of Shoulder Stiffness
대한견주관절의학회 학술대회논문집
2000 .05
-
견관절 전방 불안정에 대한 관절경적 최신 치료 경향
영남의대학술지
2003 .01
-
Arthroscopic Evaluation of the Shoulder Instability
대한견주관절의학회 학술대회논문집
1995 .03
-
Arthroscopic Treatment of Shoulder Instability
대한견주관절의학회 학술대회논문집
2010 .11
-
견관절의 내시경적 수술 중 발생한 치명적 폐부종
대한법의학회지
2010 .01
-
수술전 사각근간 상완신경총 차단술이 견관절 관절경 수술 중에 미치는 영향
대한견주관절의학회 학술대회논문집
2014 .03
-
Arthroscopic surgery for posterior shoulder instability in throwing athletes
대한견주관절의학회 학술대회논문집
2015 .04
-
Bony reconstruction in shoulder instability : the arthroscopic latarjet procedure & revision arthroscopic bone block surgery
대한견주관절의학회 학술대회논문집
2013 .03
-
Infusion Methods for Continuous Interscalene Brachial Plexus Block for Postoperative Pain Control after Arthroscopic Rotator Cuff Repair
The Korean Journal of Pain
2015 .01
-
The Efficacy of Additional Intravenous Patient-controlled Analgesia to the Interscalene Block in Arthroscopic Shoulder Surgery : A Prospective Randomized Controlled Study
대한견주관절의학회지
2017 .03
-
ARTHROSCOPIC RELEASE IN THE FROZEN SHOULDER
대한견주관절의학회 학술대회논문집
1995 .05
-
Evaluation of Calcifying Tendinitis of the Shoulder by Arthroscopic Surgery
대한견주관절의학회 학술대회논문집
2009 .05
-
유방암 절제술과 견관절 수술을 한 여성의 견관절 관절가동범위, 통증수준, 기능수준, 견갑골의 자세 비교
한국전문물리치료학회지
2015 .01
-
Method of Improvement in Shoulder and Elbow Arthroscopic Technique or Effective Ways to Improve shoulder and Elbow Arthroscopic Skills
대한견주관절의학회 학술대회논문집
2004 .11
-
Alopecia after a shoulder arthroscopic surgery at beach chair position. Two cases report.
대한견주관절의학회 학술대회논문집
2014 .03
이 논문의 저자 정보
최근 본 자료
댓글(0)
0