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首页> 外文期刊>Open access Journal of Sports Medicine >Efficacy of arthroscopically placed pain catheter adjacent to the suprascapular nerve (continuous arthroscopically assisted suprascapular nerve block) following arthroscopic rotator-cuff repair
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Efficacy of arthroscopically placed pain catheter adjacent to the suprascapular nerve (continuous arthroscopically assisted suprascapular nerve block) following arthroscopic rotator-cuff repair

机译：关节镜旋转袖套修复后，通过关节镜放置的疼痛导管邻近肩cap上神经的疗效（连续关节镜辅助肩cap上神经阻滞）

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Background: Rotator-cuff surgery is well recognized to be a painful procedure.Objectives: The purpose of this study was to examine the effectiveness of an arthroscopically placed perineural catheter at the scapular notch to provide a continuous block of the suprascapular nerve (continuous arthroscopically assisted suprascapular nerve block [ca-SSNB]) following arthroscopic rotator-cuff repair (ARCR).Materials and methods: This level II, prospective, randomized, controlled trial without postoperative blinding included 40 patients, who had a 48-hour pain pump, with 0.2% ropivacaine infusion and a continuous rate of 3 mL/hour, placed via an arthroscopically placed catheter following ARCR with arthroscopic release of the superior transverse ligament: 21 patients had a ca-SSNB, and 19 patients had a continuous subacromial bursal block (SAB). The visual analog scale (at 6 hours and on the first, second, and third postoperative days) and the total number of additional pain-reduction attempts during the 3 postoperative days were calculated.Results: The respective visual analog scale scores (mm) obtained from the ca-SSNB and SAB groups were 62.4 and 67.6 (P=0.73) before surgery, 9.1 and 19.4 (P=0.12) at 6 hours after surgery, 24.4 and 44.6 (P=0.019) on the first postoperative day, 19.4 and 40.4 (P=0.0060) on the second postoperative day, and 18.5 and 27.8 (P=0.21) on the third postoperative day. Total additional pain-reduction attempts recorded for the ca-SSNB and SAB groups during the 3 postoperative days were 0.3 times and 1.2 times (P=0.0020), respectively.Conclusion: ca-SSNB was highly effective in controlling postoperative pain after ARCR.
机译：背景：肩袖手术是公认的一项痛苦的手术。目的：本研究的目的是检查在肩cap骨切口处经关节镜置入的神经导管的有效性，以提供连续的肩cap上神经阻滞（连续关节镜辅助关节镜下旋转袖套修复（ARCR）后的肩cap上神经阻滞[ca-SSNB]。材料与方法：该II级，前瞻性，随机，对照试验无术后盲法，包括40例患者，他们使用了48小时止痛泵， 0.2％的罗哌卡因输注，连续速度为3 mL /小时，在ARCR术后通过关节镜置入的导管置入，并在关节镜下释放上横韧带：21例患者为ca-SSNB，19例患者连续发生肩峰下滑囊阻滞（SAB） ）。计算视觉模拟量表（术后6小时以及术后第一天，第二天和第三天）以及术后3天内尝试减少疼痛的总次数。结果：获得各自的视觉模拟量表评分（mm）来自ca-SSNB和SAB组的患者在手术前分别为62.4和67.6（P = 0.73），术后6小时分别为9.1和19.4（P = 0.12），术后第一天分别为24.4和44.6（P = 0.019），19.4和术后第二天为40.4（P = 0.0060），术后第三天为18.5和27.8（P = 0.21）。术后3天，ca-SSNB组和SAB组记录的总的额外疼痛减轻尝试分别为0.3倍和1.2倍（P = 0.0020）。结论：ca-SSNB在控制ARCR后的术后疼痛方面非常有效。

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