Postoperative analgesia for arthroscopic rotator cuff surgery: a comparison between subacromial and interscalene levobupivacaine

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. Sixty patients were randomized to two groups: 1) interscalene bl...

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Bibliographic Details
Published in:Aǧrı 2011-01, Vol.23 (1), p.7-12
Main Authors: Koltka, Kemalettin, Doğruel, Behiye, Sentürk, Mert, Atalar, Ata Can, Küçükay, Süleyman, Pembeci, Kamil
Format: Article
Language:English
Subjects:
Adult
Analgesia - methods
Analgesia, Epidural - methods
Anesthetics, Local - administration & dosage
Arthroscopy
Bupivacaine - administration & dosage
Bupivacaine - analogs & derivatives
Female
Humans
Infusions, Parenteral
Male
Middle Aged
Pain, Postoperative - drug therapy
Pain, Postoperative - prevention & control
Rotator Cuff - surgery
Shoulder
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Summary: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. 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. 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
ISSN:1300-0012
DOI:10.5505/agri.2011.97269