| Postoperative analgesia for arthroscopic rotator cuff surgery: a comparison between subacromial and interscalene levobupivacaine. | |
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MedLine Citation:
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PMID: 21341146 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objectives: Arthroscopic rotator cuff surgery can result in severe postoperative pain. We compared a continuous subacromial infusion to a continuous interscalene block with levobupivacaine for patients undergoing arthroscopic rotator cuff surgery. Methods: Sixty patients were randomized to two groups: 1) interscalene block with 0.5% levobupivacaine (30 mL) followed by a postoperative subacromial infusion: 0.125% levobupivacaine 5 mL/h basal infusion, 5 mL bolus dose and a 20 min lockout time or; 2) interscalene block with 0.5% levobupivacaine (30 mL) followed by a postoperative interscalene infusion: 0.125% levobupivacaine 5 mL/h basal infusion, 5 mL bolus dose and a 20 min lockout time. Infusions were maintained for 48 hours. Results: The VAS scores in the postanesthesia care unit and at 4 h were not different. The VAS scores at 8, 12, 24, 36 and 48 h were lower than 4 in both groups; but they were significantly lower in the interscalene group. Additional analgesic requirements were lower in the interscalene group (16.6% vs 53.3%, p<0.05). Patients' satisfaction was higher in the interscalene group (9.4±0.8 vs 8±1.2, p<0.01). One patient had a toxicity related to interscalene block but; there was no complication related to subacromial catheters. Conclusion: This study demonstrates that subacromial infusions, although provided good postoperative analgesia, are not as effective as interscalene infusions and additional analgesics should be prescribed when subacromial infusions are started. Subacromial infusions could be considered as an alternative in case of any contraindication to interscalene block. |
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Authors:
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Kemalettin Koltka; Behiye Doğruel; Mert Sentürk; Ata Can Atalar; Süleyman Küçükay; Kamil Pembeci |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology Volume: 23 ISSN: 1300-0012 ISO Abbreviation: Agri Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-02-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9426197 Medline TA: Agri Country: Turkey |
Other Details:
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Languages: eng Pagination: 7-12 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey. ahmetkoltka@yahoo.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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