• Rev Esp Anestesiol Reanim · Dec 2008

    Randomized Controlled Trial Comparative Study

    [Continuous interscalene block for analgesia following shoulder rotator cuff repair: evaluation of 2 bupivacaine concentrations applied with the same infusion technique].

    • V Contreras-Domínguez and P Carbonell-Bellolio.
    • Servicio de Anestesiología, Hospital Clinico Regional de Concepción, Chile. dr.vcontreras@gmail.com
    • Rev Esp Anestesiol Reanim. 2008 Dec 1;55(10):610-5.

    ObjectiveTo evaluate postoperative analgesia and patient satisfaction with the continuous interscalene block using 2 bupivacaine concentrations in combination with sufentanil for patients undergoing shoulder rotator cuff repair surgery.Material And MethodsProspective trial in 43 patients randomized to 2 groups. Group 1 received 0.125% bupivacaine plus 1 microg mL(-1) of sufentanil in continuous infusion at a rate of 7 mL h(-1). Group 2 received an infusion of 0.0625% bupivacaine plus 1 microg mL(-1) of sufentanil at the same rate. Pain was assessed on a visual analog scale (VAS) 2, 4, 6, 12, 24, and 48 hours after surgery. Intravenous ketoprofen and morphine were used to provide rescue analgesia. Morphine and bupivacaine consumption, degree of satisfaction, and the incidence of adverse effects were recorded.ResultsForty-three patients (21 in group 1 and 22 in group 2) were enrolled. Postoperative VAS scores, morphine consumption, and satisfaction were similar in the 2 groups. Bupivacaine consumption was lower in group 2 (P<.005).ConclusionsBoth the tested bupivacaine concentrations for the continuous interscalene block provided similar levels of analgesia after shoulder rotator cuff repair surgery. Reducing the bupivacaine concentration to 0.625% decreased the consumption of local anesthetic without diminishing the quality of analgesia.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…