Selective Suprascapular and Axillary Nerve Block Versus Interscalene Plexus Block for Pain Control After Arthroscopic Shoulder Surgery

医学 肩关节手术 肩胛上神经 麻醉 腋神经 外科 神经阻滞 疼痛控制 臂丛神经
作者
Anneleen Neuts,Björn Stessel,Patrick Wouters,Carl Dierickx,Wilfried Cools,Ory Jp,Jasperina Dubois,Luc Jamaer,Ingrid Arijs,Dirk Schoorens
出处
期刊:Regional Anesthesia and Pain Medicine [BMJ]
卷期号:: 1-1 被引量:46
标识
DOI:10.1097/aap.0000000000000777
摘要

This randomized trial aimed to assess if a combined suprascapular-axillary nerve block (SSB) is noninferior (margin = 1.3 on a 0- to 10-point scale) to interscalene block (ISB) in treating pain after arthroscopic shoulder surgery. Secondary end points included opioid consumption, dyspnea, discomfort associated with muscle weakness, and patient satisfaction.One hundred patients undergoing arthroscopic shoulder surgery were randomized to receive ultrasound-guided ISB (n = 50) or SSB (n = 50). Pain intensity at rest, dyspnea, and discomfort were recorded upon arrival in the recovery room, discharge to the ward, and at 4, 8, and 24 hours after surgery. Piritramide consumption was recorded for the first 24 hours. Patient satisfaction was assessed on the second postoperative day.During the first 4 hours after surgery, the difference in mean pain score between SSB and ISB was higher than 2.5 (±0.8). The difference gradually decreased to 1.1 (±1.0) at 8 hours before resulting in noninferiority during the night and at 24 hours. Piritramide consumption was significantly higher in the SSB group in the first 8 hours. The incidence of dyspnea and discomfort was higher after ISB. Treatment satisfaction was similar in both groups.Suprascapular-axillary nerve block is inferior to ISB in terms of analgesia and opioid requirement in the immediate period after arthroscopic shoulder surgery but is associated with a lower incidence of dyspnea and discomfort. The difference in pain and opioid consumption gradually decreases as the blocks wear off in order to reach similar pain scores during the first postoperative night and at 24 hours.This study was registered at ClinicalTrials.gov, identifier NCT02415088.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
子车半烟完成签到,获得积分10
刚刚
2秒前
淳于安筠完成签到,获得积分10
2秒前
雨晴完成签到,获得积分10
5秒前
jbq发布了新的文献求助10
5秒前
joshar完成签到,获得积分10
5秒前
6秒前
量子星尘发布了新的文献求助10
8秒前
blueblue完成签到,获得积分10
10秒前
落后秋烟完成签到,获得积分10
12秒前
大橙子发布了新的文献求助10
13秒前
LMY完成签到 ,获得积分10
13秒前
Betty完成签到 ,获得积分10
13秒前
NexusExplorer应助jbq采纳,获得10
14秒前
渔渔完成签到 ,获得积分10
14秒前
15秒前
Tangyartie完成签到 ,获得积分10
15秒前
skbkbe完成签到 ,获得积分10
16秒前
陈俊雷完成签到 ,获得积分0
17秒前
阿苗完成签到,获得积分10
18秒前
神勇的天问完成签到 ,获得积分10
19秒前
19秒前
advance完成签到,获得积分10
19秒前
李cc发布了新的文献求助10
20秒前
蒋念寒发布了新的文献求助10
21秒前
Sindy完成签到,获得积分10
21秒前
彭于晏应助HH采纳,获得30
23秒前
23秒前
朴实的小萱完成签到 ,获得积分10
24秒前
科研通AI5应助哭泣笑柳采纳,获得10
24秒前
24秒前
温暖的蚂蚁完成签到 ,获得积分10
27秒前
dhn123完成签到,获得积分10
27秒前
ccx完成签到,获得积分10
27秒前
28秒前
biofresh发布了新的文献求助30
28秒前
科研顺利完成签到,获得积分10
29秒前
Owen应助科研通管家采纳,获得10
30秒前
JamesPei应助科研通管家采纳,获得10
30秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038184
求助须知:如何正确求助?哪些是违规求助? 3575908
关于积分的说明 11373872
捐赠科研通 3305715
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892662
科研通“疑难数据库(出版商)”最低求助积分说明 815022