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
- 2015.1
- 수록면
- 45 - 51 (7page)
이용수
초록· 키워드
오류제보하기
Background: Arthroscopic shoulder operations (ASS) are often associated with severe postoperative pain. Nerve blocks have been studied for pain in shoulder surgeries. Interscalene brachial plexus blocks (ISB) and an intra-articular injection (IA) have been reported in many studies. The aim of the present study is to evaluate the effect of ISB, a continuous cervical epidural block (CCE) and IA as a means of postoperative pain control and to study the influence of these procedures on postoperative analgesic consumption and after ASS. Methods: Fifty seven patients who underwent ASS under general anesthesia were randomly assigned to one of three groups: the ISB group (n = 19), the CCE group (n = 19), and the IA group (n = 19). Patients in each group were evaluated on a postoperative numerical rating scale (NRS), their rescue opioid dosage (ROD), and side effects. Results: Postoperative NRSs were found to be higher in the IA group than in the ISB and CCE groups both at rest and on movement. The ROD were 1.6 ± 2.3, 3.0 ± 4.9 and 7.1 ± 7.9 mg morphine equivalent dose in groups CCE, ISB, and IA groups (P = 0.001), respectively, and statistically significant differences were noted between the CCE and IA groups (P = 0.01) but not in between the ISB and CCE groups. Conclusions: This prospective, randomized study demonstrated that ISB is as effective analgesic technique as a CCE for postoperative pain control in patients undergoing ASS. (Korean J Pain 2015; 28: 45-51)
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Al-Kaisy A / 1998 / Analgesic effect of interscalene block using lowdose bupivacaine for outpatient arthroscopic shoulder surgery / Reg Anesth Pain Med 23 : 469 ~ 473
Axelsson K / 2008 / Intraarticular administration of ketorolac, morphine, and ropivacaine combined with intraarticular patient-controlled regional analgesia for pain relief
Beaudet V / 2008 / Perioperative interscalene block versus intra-articular injection of local anesthetics for postoperative analgesia in shoulder surgery / Reg Anesth Pain Me
Boss AP / 2004 / Continuous subacromial bupivacaine infusion for postoperative analgesia after open acromioplasty and rotator cuff repair : preliminary results / J Shoulder E
Capdevila X / 2006 / Effect of patient-controlled perineural analgesia on rehabilitation and pain after ambulatory orthopedic surgery : a multicenter randomized trial / Anes
Axelsson K / 2008 / Intraarticular administration of ketorolac, morphine, and ropivacaine combined with intraarticular patient-controlled regional analgesia for pain relief
Beaudet V / 2008 / Perioperative interscalene block versus intra-articular injection of local anesthetics for postoperative analgesia in shoulder surgery / Reg Anesth Pain Me
Boss AP / 2004 / Continuous subacromial bupivacaine infusion for postoperative analgesia after open acromioplasty and rotator cuff repair : preliminary results / J Shoulder E
Capdevila X / 2006 / Effect of patient-controlled perineural analgesia on rehabilitation and pain after ambulatory orthopedic surgery : a multicenter randomized trial / Anes
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