Intra-operative effect of interscalene brachial plexus block to arthroscopic rotator cuff repair surgery

AbstractIntroductionTo determine whether the placement of an interscalene brachial plexus block (IBPB) with general anaesthesia before shoulder arthroscopy would be effective in establishing a clear visual field and in shortening the surgical procedure.MethodThis prospective randomized control trial study included 152 patients who had undergone arthroscopic rotator cuff repair. Group A received IBPB and group B did not receive IBPB. A visual clarity scale (VCS) was determined by arthroscopic visualization. The systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), duration of surgical procedure, VCS, and medication that was administered for haemodynamic stability were recorded. Results: The VCS was improved in group A at stages 2 and 3 of the surgical procedures (p 
Source: International Orthopaedics - Category: Orthopaedics Source Type: research

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This study aims to compare which method provides surgical block as a sole anesthesia. In this retrospective study, 1158 patients who underwent shoulder arthroscopic rotator cuff tear repair surgery under ISB between October 2002 and March 2018 were classified into either the US-ISB or NS-ISB anesthesia groups. Demographic and anesthetic characteristics and intraoperative medications were analyzed after propensity score matching and compared between the 2 groups. There was a 0.5% rate of conversion to general anesthesia in the US-ISB group and a 6.7% rate in the NS-ISB group (Pā€Š
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Either pain or contracture may limit shoulder passive range of motion (PROM) in patients with rotator cuff disease, and an appropriate treatment may be determined according to its cause. If there is no change in PROM under general anesthesia, contracture, rather than pain, may be the underlying condition. Our goal was to devise a physical examination that would help discriminate between pain and contracture in limited PROM patients with rotator cuff tear. This is a STROBE-compliant cross-sectional study. Patients with rotator cuff tears (Nā€Š=ā€Š28) were scheduled for arthroscopic repair. The main outcome measure was PROM...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Discussion: A prolonged preoperative and postoperative pregabalin prescription for anterior cruciate ligament repair decreased the need for supplementary analgesics during the first 24 postoperative hours but increased dizziness.
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research
The purpose of this study was to compare the outcomes of arthroscopic rotator cuff repair (ARCR) in patients with preoperative stiffness to those without.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Source Type: research
Conditions:   Shoulder Pain;   Postoperative Pain;   Rotator Cuff Tears;   Anesthesia;   Anesthesia, Local Interventions:   Procedure: Suprascapular nerve block;   Procedure: Interscalene Nerve Block;   Procedure: Arthroscopic rotator cuff repair Sponsor:   Ivan Simionato Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Imagine you’re walking along and suddenly experience excruciating knee pain. Though it initially seems stuck in one position, after a minute or two you can limp along home, but just barely. At your doctor’s visit, an x-ray is normal but symptoms continue for weeks. An MRI is performed and now you have an explanation: a torn meniscus. (Two menisci — rubbery cartilage pads that act as shock absorbers — separate the bottom of your knee bone from the top of your shin bone.) A month later, you’re no better despite rest, pain medicines, and physical therapy. It’s time for surgery to fix it, ri...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Injuries Osteoarthritis Pain Management Surgery Source Type: blogs
CONCLUSIONS: This study described that the direct continuous infusion of anesthetic under subacromial analgesic pump showed a greater pain relief with less side effects compared with intravenous infusion for arthroscopic rotator cuff repair. PMID: 32147277 [PubMed - as supplied by publisher]
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
Authors: Yeung M, Shin JJ, Lesniak BP, Lin A Abstract INTRODUCTION: The purpose of this study was to compare complication rates between arthroscopic versus open biceps tenodesis in the setting of arthroscopic rotator cuff repair and to determine the effect of fellowship training on complication rates. METHODS: The American Board of Orthopaedic Surgery database was used to identify cases of arthroscopic and open biceps tenodesis in the setting of rotator cuff repair between 2012 and 2016. Surgical, medical, and anesthetic complications, location, fellowship training, surgery year, and patient demographic data we...
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
ConclusionWith this local –regional nerve-blocking protocol, opioid use after ARCR was unexpectedly low, and a large proportion of patients recovered without any post-surgical opioids. The correlation seen between opioid use and age may not be clinically significant, given the low use of post-operative opioids overall. The se results may be useful in guiding post-operative opioid prescribing after ARCR, as well as in lowering costs associated with ARCR.
Source: HSS Journal - Category: Orthopaedics Source Type: research
Publication date: January–February 2020Source: The Journal of Foot and Ankle Surgery, Volume 59, Issue 1Author(s): Mareen Braunstein, Sebastian F. Baumbach, Marcel Urresti-Gundlach, Lars Borgmann, Wolfgang Böcker, Hans PolzerAbstractEspecially after complex ankle fractures, patients regularly suffer from residual symptoms, presumably due to occult intra-articular injuries. The aim of this study was to evaluate the intra-articular lesions, identify fractures specifically at risk for these, and assess the results after arthroscopically assisted open reduction and internal fixation of complex ankle fractures after ...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
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