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KMID : 1239420130040010016
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Journal of Orthopaedic Pain Society
2013 Volume.4 No. 1 p.16 ~ p.21
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Postoperative Pain Management for Shoulder Arthroscopy
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Bang Jin-Young
Oh Kyung-Soo
Cho Hyeoung-Woen
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Abstract
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Successful pain control after arthroscopic shoulder surgery leads to short term hospitalization and early functional recovery. Therefore, organized treatments combined with adequate counseling should be done to relieve postoperative pain effectively. In doing so, appropriate treatments are needed before, during and after the index operations. Preemptive analgesia is known to be effective in reducing central sensitization, therefore, resulted in reduction of postoperative pain and dosage of pain killers. There are several preemptive methods intimate to orthopaedic surgeons. Preoperative peripheral nerve block is also one of effective and convenient managements. For intraoperative pain management infusion of analgesic/anesthetic medications into the joint and surrounding tissue is considered. In postoperative periods, several methods including sleeping pill, cryotherapy, narcotics, and oral analgesics are used concomitantly to ease symptoms. When the above therapies are performed well in consecutive order, pain could be controlled satisfactorily.
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KEYWORD
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Preemptive pain management, Shoulder artroscopy, Postoperative pain
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