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KMID : 0390320150250020017
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Chungbuk Medical Journal
2015 Volume.25 No. 2 p.17 ~ p.22
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Efficacy of Ultrasound guided Nerve Block for Pain after Arthroscopic Shoulder Operation
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김현태:Kim Hyeon-Tae
신영덕:Shin Young-Duck/이진희:Lee Jin-Hee/정유섭:Jeong Yu-Sub
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Abstract
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Purpose: Patients usually complain about pain from arthroscopic rotator cuff repair shortly after the procedure is performed. We would like to evaluate the efficacy of the post-operative pain management process when suprascapular nerve block(SSNB) and Interscalene brachial plexus block(IS-BPB) are performed in addition to patient-controlled analgesia(PCA).
Materials and Methods: In this prospective study 90 cases of rotator cuff tear diagnosed patients who received the arthroscopic rotator cuff repair procedure at our hospital. Patients were divided into three groups. The control group A(30 cases) received the PCA only. The group B(30 cases) received both PCA and SSNB. The group C(30 cases) received both PCA and IS-BPB. A visual analog scale(VAS) was used to record the levels of preoperative and postoperative pain at 1, 4, 8, 12, 24, 48 and 72 hours after the operation.
Results: Group B and C had less pain at 1, 4, 8, 12, 24, 48, 72 hours postoperatively than the control group A(p<0.05) (Fig. 1). Group C had less pain at 1, 4, 8, 12, 24, 48 hours postoperatively than the other groups(p<0.05) (Fig. 1).
Conclusions: Ultrasound guided IS-BPB is an effective and safe procedure. When it is used in postoperative pain control, it reduces pain very effectively.
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KEYWORD
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Arthroscopic shoulder operation, Nerve block, Ultrasound
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