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Effects of Interscalene Nerve Block for Postoperative Pain Management in Patients after Shoulder Surgery
Joint Authors
Yu, Huang-Ping
Shen, Shih-Jyun
Chen, Hsiu-Pin
Tsai, Hsin-I
Kao, Sheng-Chin
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-24
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objectives.
Shoulder surgery can produce severe postoperative pain and movement limitations.
Evidence has shown that regional nerve block is an effective management for postoperative shoulder pain.
The purpose of this study was to investigate the postoperative analgesic effect of intravenous patient-controlled analgesia (PCA) combined with interscalene nerve block in comparison to PCA alone after shoulder surgery.
Methods.
In this study, 103 patients receiving PCA combined with interscalene nerve block (PCAIB) and 48 patients receiving PCA alone after shoulder surgery were included.
Patients’ characteristics, preoperative shoulder score and range of motion, surgical and anesthetic condition in addition to visual analog scale (VAS) pain score, postoperative PCA consumption, and adverse outcomes were evaluated.
Results.
The results showed that PCA combined with interscalene nerve block (PCAIB) group required less volume of analgesics than PCA alone group in 24 hours ( 57.76 ± 23.29 mL versus 87.29 ± 33.73 mL, p < 0 .
001 ) and 48 hours ( 114.86 ± 40.97 mL versus 183.63 ± 44.83 mL, p < 0 .
001 ) postoperatively.
The incidence of dizziness in PCAIB group was significantly lower than PCA group (resp., 1.9% and 14.6%, p = 0 .
005 ).
VAS, nausea, and vomiting were less in group PCAIB, but in the absence of significant statistical correlation.
Conclusion.
Interscalene nerve block is effective postoperatively in reducing the demand for PCA analgesics and decreasing opioids-induced adverse events following shoulder surgery.
American Psychological Association (APA)
Chen, Hsiu-Pin& Shen, Shih-Jyun& Tsai, Hsin-I& Kao, Sheng-Chin& Yu, Huang-Ping. 2015. Effects of Interscalene Nerve Block for Postoperative Pain Management in Patients after Shoulder Surgery. BioMed Research International،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1057173
Modern Language Association (MLA)
Chen, Hsiu-Pin…[et al.]. Effects of Interscalene Nerve Block for Postoperative Pain Management in Patients after Shoulder Surgery. BioMed Research International No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1057173
American Medical Association (AMA)
Chen, Hsiu-Pin& Shen, Shih-Jyun& Tsai, Hsin-I& Kao, Sheng-Chin& Yu, Huang-Ping. Effects of Interscalene Nerve Block for Postoperative Pain Management in Patients after Shoulder Surgery. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1057173
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057173