HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) All Versions of this Article: 35/1/75    most recent 0363546506291632v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Cho, N. S. Articles by Rhee, Y. G. Search for Related Content PubMed PubMed Citation Articles by Cho, N. S. Articles by Rhee, Y. G. Related Collections Shoulder Arthroscopy

Patient-Controlled Analgesia After Arthroscopic Rotator Cuff Repair

Subacromial Catheter Versus Intravenous Injection

Nam Su Cho, MD^*, Jeong Han Ha, MD and Yong Girl Rhee, MD^,

From the ^* Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea, and Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea

Address correspondence to Yong Girl Rhee, MD, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Korea (e-mail: shoulderrhee{at}hanmail.net).

Background: No study has compared pain control results between patient-controlled subacromial infusion and intravenous injection after arthroscopic shoulder surgery.

Hypothesis: Subacromial infusion of analgesics are more effective in pain alleviation than intravenous injection.

Study Design: Randomized controlled clinical trial; Level of evidence, 2.

Methods: The authors prospectively analyzed 40 cases of arthroscopic rotator cuff repair that received patient-controlled analgesia. They divided the 40 cases into 2 groups: subacromial infusion group with 0.5% bupivacaine (group 1, 20 cases) and intravenous injection group with fentanyl and ketorolac tromethamine (group 2, 20 cases). The visual analog scale was used to record the patient’s level of pain every 12 hours until postoperative 72 hours and the following 48 hours after the suspension of patient-controlled analgesia.

Results: The mean preoperative visual analog scale score during motions was 6.8 in group 1 and 5.8 in group 2. The immediate postoperative visual analog scale score was 7.6 and 7.4, respectively, for each group. At postoperative time periods, most of the scores of subacromial infusion at rest and during motions were lower than those of intravenous injection, but significant differences were not found between groups 1 and 2.

Conclusion: Patient-controlled analgesia after arthroscopic rotator cuff repair showed that both subacromial infusion of bupivacaine and intravenous injection of fentanyl and ketorolac tromethamine were equally effective and clinically equivalent pain control methods.

Key Words: shoulder • rotator cuff tear • patient-controlled analgesia

This article has been cited by other articles:

				M. L. Ramsey, C. L. Getz, and B. O. Parsons What's New in Shoulder and Elbow Surgery J. Bone Joint Surg. Am., March 1, 2008; 90(3): 677 - 687. [Full Text] [PDF]