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. 2015 Nov 17;45(4):395-9.
doi: 10.1016/S2255-4971(15)30386-4. eCollection 2010 Jul-Aug.

PROSPECTIVE RANDOMIZED STUDY COMPARING TWO ANESTHETIC METHODS FOR SHOULDER SURGERY

Roberto Yukio Ikemoto  1 , Joel Murachovsky  2 , Luis Gustavo Prata Nascimento  3 , Rogerio Serpone Bueno  4 , Luiz Henrique Oliveira Almeida  4 , Eric Strose  3 , Sérgio Cabral de Mello  5 , Deise Saletti  6
Affiliations

PROSPECTIVE RANDOMIZED STUDY COMPARING TWO ANESTHETIC METHODS FOR SHOULDER SURGERY

Roberto Yukio Ikemoto et al. Rev Bras Ortop. .

Abstract

Objective: To evaluate the efficacy of suprascapular nerve block in combination with infusion of anesthetic into the subacromial space, compared with interscalene block.

Methods: Forty-five patients with small or medium-sized isolated supraspinatus tendon lesions who underwent arthroscopic repair were prospectively and comparatively evaluated through random assignation to three groups of 15, each with a different combination of anesthetic methods. The efficacy of postoperative analgesia was measured using the visual analogue scale for pain and the analgesic, anti-inflammatory and opioid drug consumption. Inhalation anesthetic consumption during surgery was also compared between the groups.

Results: The statistical analysis did not find any statistically significant differences among the groups regarding anesthetic consumption during surgery or postoperative analgesic efficacy during the first 48 hours.

Conclusion: Suprascapular nerve block with infusion of anesthetic into the subacromial space is an excellent alternative to interscalene block, particularly in hospitals in which an electrical nerve stimulating device is unavailable.

Keywords: Anesthesia; Arthroscopy; Nerve block; Rotator cuff; Shoulder.

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Figures

Figure 1
Figure 1
Visual pain scale (VAS)
Figure 2
Figure 2
Mean consumption of inhalation anesthetics in milliliters in groups A, B and C
Figure 3
Figure 3
Mean number of ampoules of analgesics, anti-inflammatory agents and opioids consumed in each group after the operation
See this image and copyright information in PMC

References

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