Comparison of different analgesia methods in shoulder surgery Omuz cerrahisinde postoperatif analjezi saǧlama yöntemlerinin karşilştirilmasi
Revista Espanola de Cirugia Ortopedica y Traumatologia, cilt.52, sa.1, ss.38-44, 2008 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 52 Sayı: 1
- Basım Tarihi: 2008
- Dergi Adı: Revista Espanola de Cirugia Ortopedica y Traumatologia
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.38-44
- Anahtar Kelimeler: Interscalene catheter, Postoperative analgesia, Shoulder surgery, Subacromial catheter
- Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet
Özet
Aim: Postoperative pain is a problem after shoulder surgery. The aim was to compare the postoperative analgesic efficacies of subacromial infusion after single shot interscalene block (ISB) to a continuous ISB. Material and Methods: After ethical committee approval and informed consent 36 ASA I-II patients were randomly divided into two groups. Preoperalively all patients received an ISB with 30 mL 0.5 % bupivacaine. Catheters were inserted to the interscalene sheath in Group I and to the subacromial space in Group II. In the postoperative period patients received an analgesia using patient controlled analgesia (PCA) device. The PCA parameters were 5 mL h-1 bupivacaine 0.125%, a bolus of 5 mL bupivacaine 0.125 % in GI and 2.5 mL h-1 bupivacaine 0.125%, a bolus of 2.5 mL bupivacaine 0.125 % in GII a with a lock out time of 20 minutes. Pain relief was assessed using a visual analog scale (VAS, 0-10 cm) at the postoperative at 0, 4th, 8th, 12th and 24 th hours. Additional analgesics were noted and at the end of 24 h patients rated their satisfaction. Results: All patients had adequate analgesia (VAS< 4). GI had lower VAS scores during the study period accept for the 0 and 4th hour compared to GII. Two patients (11 %) in GI and 8 patients (44 %) in GII had additional analgesics, which was not significant. Patient satisfaction: 9±0.8 in GI and 8±0.7 in GII with significant differences (p<0.001). Conclusion: Subacromial catheters can be applied without serious side-effects and complications. Although less effective than continuous ISB; it is a suitable method with adequate analgesia.