umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Continuous interscalene brachial plexus block for postoperative analgesia following shoulder surgery
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.ORCID iD: 0000-0002-5325-2688
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.
Show others and affiliations
1999 (English)In: Acta Anaesthesiol Scand, Vol. 43, no 3, 258-64 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Severe postoperative pain is a well-known problem following shoulder surgery. This study evaluates the clinical efficacy of continuous interscalene brachial plexus block, patient-controlled analgesia, and morphine (i.v. and i.m.) for postoperative analgesia in this setting. METHODS: Thirty patients, scheduled for acromioplasty during general anesthesia, were randomly allocated to one of three different postoperative pain management groups. Group MO received morphine (5 mg i.m. and 2 mg i.v.) when visual analogue pain score (VAS) > 3, group PL received a continuous interscalene brachial plexus block with bupivacaine (1.25 mg kg-1 + 0.25 mg kg-1 h-1) and group PCA received patient-controlled analgesia with morphine (bolus 1 mg). Postoperative pain relief was assessed (24 h) by VAS, circulatory and respiratory stress parameters (heart rate, systemic arterial pressure and respiratory rate) and stress metabolites (glucose, lactate, glycerol by abdominal subcutaneous microdialysis). RESULTS: Pain relief in the PL group was effective (VAS < 3) and significantly more potent than in groups MO and PCA, except at 16 and 20 h. Lactate was significantly increased in the PL group, glucose was significantly increased in all groups, while glycerol showed a variable pattern. There were no significant stress metabolite differences among groups. VAS showed no statistical correlation with microdialysate, respiratory or circulatory data. CONCLUSION: Successful continuous interscalene brachial plexus block provides very good pain relief following shoulder surgery and is superior to the other methods studied. However, we were unable to demonstrate a correlation between VAS pain scores and stress indicators in metabolic, circulatory and respiratory parameters.

Place, publisher, year, edition, pages
1999. Vol. 43, no 3, 258-64 p.
Keyword [en]
Adolescent, Adult, Aged, Analgesia, Patient-Controlled, Analgesics, Opioid/administration & dosage, Anesthetics, Local/*administration & dosage, *Arthroplasty, *Brachial Plexus, Bupivacaine/*administration & dosage, Female, Glucose/metabolism, Glycerol/metabolism, Humans, Lactic Acid/metabolism, Male, Microdialysis, Middle Aged, Morphine/administration & dosage, *Nerve Block/methods, Pain Measurement, Pain, Postoperative/*therapy, Shoulder Joint/*surgery
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:umu:diva-66523ISBN: 0001-5172 (Print) OAI: oai:DiVA.org:umu-66523DiVA: diva2:607296
Note

Lehtipalo, S Koskinen, L O Johansson, G Kolmodin, J Biber, B Clinical Trial Randomized Controlled Trial Research Support, Non-U.S. Gov't Denmark Acta anaesthesiologica Scandinavica Acta Anaesthesiol Scand. 1999 Mar;43(3):258-64.

Available from: 2013-02-22 Created: 2013-02-22 Last updated: 2015-09-15

Open Access in DiVA

No full text

Other links

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=10081530

Search in DiVA

By author/editor
Lehtipalo, StefanKoskinen, Lars OveJohansson, Göran
By organisation
AnaesthesiologyClinical Neuroscience
Anesthesiology and Intensive Care

Search outside of DiVA

GoogleGoogle Scholar

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 57 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf